Bald Eagle Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BALD EAGLE FAMILY MEDICINE

Practice address

201 E Pearl St Ste B204
Granbury, TX 76048-2177

Phone

(682) 205-1079

Fax

(682) 214-3222

NPI assigned

Feb 17, 2022

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tony Hedges, DONPI 1073591848

Title

Medical Doctor

Phone

(682) 205-1079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tony Gene Hedges, D.O.

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1073591848
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1871248906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760480355",
            "telephone_number": "682-205-1079",
            "fax_number": "682-214-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E PEARL ST STE B204",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482177",
            "telephone_number": "682-205-1079",
            "fax_number": "682-214-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALD EAGLE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "682-205-1079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Granbury, TX
• Providers in Granbury, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.