Individual provider Active NPI

Mark L Hedlund, M.D.

  • Family Medicine Physician
  • Brady, TX
National Provider Identifier
1891770749
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4080 Issued in TX
Practice address
2008 Nine Rd
Brady, TX 76825-7210
Phone
(325) 597-2901
NPI assigned
Dec 14, 2005
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K4080 TX Primary

Addresses

Primary practice location

2008 Nine Rd
Brady, TX 76825-7210

Mailing address

2008 Nine Rd
Brady, TX 76825-7210
Phone (325) 597-2901

Other practice location 1

4333 N Josey Ln
#302
Carrollton, TX 75010-4629
Phone (972) 394-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000729 TX Practitioner - Family Practice 7315113321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt Regional Medical PartnersGroup PAC ID 7517137748, 27 clinicians

Practice addresses (Care Compare)

1080 E Lennon Dr
Suite 3
Emory, TX 75440-3214
Phone (903) 473-2060

734 E Quinlan Pkwy
Suite a
Quinlan, TX 75474-8640
Phone (903) 356-2144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K4080TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Regional Medical Partners Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Hunt Regional Medical Partners CurrentSince Apr 1, 2023 Accepting new patients

Locations

5000 E Interstate 30
Ste 130
Fate, TX 75189
Phone (469) 540-2482

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

734 E Quinlan Pkwy
#A
Quinlan, TX 75474
Phone (903) 356-2144

Interoperability endpoints

  • Direct secure messaging: mark.hedlund.1@9148.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1891770749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 NINE RD",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768257210",
            "telephone_number": "325-597-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 NINE RD",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768257210",
            "telephone_number": "325-597-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4333 N Josey Ln",
            "address_2": "#302",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104629",
            "country_code": "US",
            "telephone_number": "972-394-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDLUND",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brady, TX

Sources for this page

Verify at the official NPI Registry.