Active NPI
Brenda Dawn Hinman McIlroy, DO, MPH
- Obstetrics & Gynecology Physician
- Burnet, TX
National Provider Identifier
1881851889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- Q1624
- Practice address
- 200 W John Hoover Pkwy
BLDG 3, Ste D
Burnet, TX 78611 - Phone
- (512) 715-3132
- Fax
- (512) 715-3133
- NPI assigned
- May 19, 2008
- Last updated
- Jul 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO158369 | OR | |
| Obstetrics & Gynecology Physician | 207V00000X | 20A12570 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | Q1624 | TX | Primary |
Addresses
Primary practice location
200 W John Hoover Pkwy
BLDG 3, Ste D
Burnet, TX 78611
Mailing address
200 W John Hoover Pkwy
BLDG 3, Ste D
Burnet, TX 78611
Phone (512) 715-3132
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340287702 | Medicaid | TX | |
| 1073652 | Medicaid | LA | |
| 340287701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12570 | CA | MD | Obstetrics & Gynecology Physician |
| Q1624 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SEBD Professional Support Services
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1881851889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W JOHN HOOVER PKWY",
"address_2": "BLDG 3, STE D",
"city": "BURNET",
"state": "TX",
"postal_code": "78611",
"telephone_number": "512-715-3132",
"fax_number": "512-715-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W JOHN HOOVER PKWY",
"address_2": "BLDG 3, STE D",
"city": "BURNET",
"state": "TX",
"postal_code": "78611",
"telephone_number": "512-715-3132",
"fax_number": "512-715-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINMAN MCILROY",
"first_name": "BRENDA",
"middle_name": "DAWN",
"credential": "DO, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "DO158369",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A12570",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "Q1624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340287702",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073652",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340287701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnet, TX
- Lurenda Gayle Henry
- Susan Elizabeth Henson, DMD
- Michael Anthony Herrera, PHARM.D
- Hill Country Advanced Foot and Ankle Center, P.a.
- Hill Country Birth Center (Hill Country Birth & Wellness)
- Erica J Hughes, MD
- Akbar Aly Hussaini, M.D.
- Chandra E Irvin, APN
- Jeremy L Danson OD PA (Burnet Eye Care)
- Elyssa J Johnson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.