Organization Active NPI

Stephens Memorial Hospital

  • Family Medicine Physician
  • Breckenridge, TX
National Provider Identifier
1871736660
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STEPHENS MEMORIAL HOSPITAL
Practice address
101 S Hartford St
Breckenridge, TX 76424-4711
Phone
(254) 559-3363
Fax
(254) 559-8407
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Mr. Ernest R Parisi
Title
Ceo
Phone
(254) 559-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

101 S Hartford St
Breckenridge, TX 76424-4711

Mailing address

101 S Hartford St
Breckenridge, TX 76424-4711
Phone (254) 559-3363

Other names 1

  • Breckenridge Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1871736660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S HARTFORD ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244711",
            "telephone_number": "254-559-3363",
            "fax_number": "254-559-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S HARTFORD ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244711",
            "telephone_number": "254-559-3363",
            "fax_number": "254-559-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-559-2241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breckenridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breckenridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.