Organization Active NPI

Briarwood Clinic, LLC

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1881069995
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BRIARWOOD CLINIC, LLC
Practice address
5000 Briarwood Ave
Suite 203
Midland, TX 79707-2753
Phone
(432) 687-6870
Fax
(432) 687-5558
NPI assigned
Dec 1, 2015
Last updated
Apr 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Allen V Hurt, MDNPI 1770570749
Title
Administrator/President
Phone
(575) 392-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X
Family Nurse Practitioner 363LF0000X Primary
Pediatric Nurse Practitioner 363LP0200X

Addresses

Primary practice location

5000 Briarwood Ave
Suite 203
Midland, TX 79707-2753

Mailing address

2410 N Fowler St
Hobbs, NM 88240-2312
Phone (575) 392-2040

Other identifiers 1

IdentifierTypeStateIssuer
358966503MedicaidTX

National Provider Directory

National Provider Directory

Locations

4505 Santa Rosa Dr
Ste B
Midland, TX 79707
Phone (432) 231-0100

5000 Briarwood Ave
Ste 203
Midland, TX 79707
Phone (432) 687-6870

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1881069995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N FOWLER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402312",
            "telephone_number": "575-392-2040",
            "fax_number": "575-392-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRIARWOOD AVE",
            "address_2": "SUITE 203",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072753",
            "telephone_number": "432-687-6870",
            "fax_number": "432-687-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIARWOOD CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "575-392-2040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358966503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.