Individual provider Active NPI

Roberto John Denny, FNP, APRN

  • Family Nurse Practitioner
  • Eastland, TX
National Provider Identifier
1912787698
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1136461 Issued in TX
Practice address
711 W Main St
Eastland, TX 76448-2534
Phone
(254) 631-0111
NPI assigned
Oct 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1136461 TX Primary

Addresses

Primary practice location

711 W Main St
Eastland, TX 76448-2534

Mailing address

5701 W Slaughter LN Ste A130-155
Austin, TX 78749-6527
Phone (512) 789-7099

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215002334 TX Practitioner - Nurse Practitioner 3870942840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Daniel M Brudnak MD Faafp PAGroup PAC ID 2860521739, 2 clinicians
Eastland Health Clinic PLLCGroup PAC ID 8426212382, 2 clinicians

Practice addresses (Care Compare)

115 S Kent St
Gorman, TX 76454-3060
Phone (254) 734-4254

711 W Main St
Eastland, TX 76448-2534
Phone (254) 631-0111

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel M Brudnak MD Faafp PA CurrentSince Dec 1, 2023 Accepting new patients
Eastland Health Clinic PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

5701 W Slaughter Ln
Ste A130155
Austin, TX 78749

711 W Main St
Eastland, TX 76448
Phone (254) 629-1100

115 S Kent St
Gorman, TX 76454
Phone (254) 734-4254

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1912787698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W SLAUGHTER LN STE A130-155",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496527",
            "telephone_number": "512-789-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482534",
            "telephone_number": "254-631-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNY",
        "first_name": "ROBERTO",
        "middle_name": "JOHN",
        "credential": "FNP, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1136461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

Verify at the official NPI Registry.