NPIMap

Individual provider Active NPI

Stephen R. Nichols, M.D.

  • Emergency Medicine Physician
  • Brownwood, TX
National Provider Identifier
1912955899
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J7606 Issued in TX
Practice address
1501 Burnet Rd
Brownwood, TX 76801-8520
Phone
(325) 784-9981
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 321114 LA
Internal Medicine Physician 207R00000X 321114 LA
Emergency Medicine Physician 207P00000X J7606 TX Primary

Addresses

Primary practice location

1501 Burnet Rd
Brownwood, TX 76801-8520

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other identifiers 1

IdentifierTypeStateIssuer
138947017MedicaidTX

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Thurston Emergency Group a Professional LLC Emergency Medicine Current Accepting new patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine Current Accepting new patients
Olney Emergency Group, a Professional LLC Emergency Medicine Current Accepting new patients
Hill Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Hood Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Howard Emergency Medicine Associates PA. Emergency Medicine Past Accepting new patients
Tom Green Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Mid Central Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients

Locations

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1912955899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BURNET RD",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768018520",
            "telephone_number": "325-784-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "STEPHEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "321114",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "321114",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J7606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138947017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.