NPIMap

Individual provider Active NPI

Alan Hardwicke, MD

  • Family Medicine Physician
  • Ballinger, TX
National Provider Identifier
1912969627
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H4381 Issued in TX
Practice address
2001 Hutchins Ave
Suite C
Ballinger, TX 76821-4452
Phone
(325) 365-5737
Fax
(325) 365-2405
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H4381 TX
Family Medicine Physician 207Q00000X H4381 TX Primary

Addresses

Primary practice location

2001 Hutchins Ave
Suite C
Ballinger, TX 76821-4452

Mailing address

PO Box 617
Ballinger, TX 76821-0617
Phone (325) 365-5737

Other practice location 1

608 Avenue B
Ballinger, TX 76821-2406
Phone (325) 365-2531

Other identifiers 2

IdentifierTypeStateIssuer
097822304MedicaidTX
8GN448OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000638 TX Practitioner - Family PracticePractitioner - Internal Medicine 1850328261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
University of Texas Medical School at San Antonio, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballinger Memorial Hospital DistrictGroup PAC ID 0042200180, 7 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

2001 Hutchins Ave
Suite C
Ballinger, TX 76821-4453
Phone (325) 365-5737

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Ballinger Home Health, Inc. Home health agency, Ballinger, TX, CCN 457773
  • Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
  • St. Gabriel'S Hospice and Palliative Care Hospice, Fort Worth, TX, CCN 741596
  • Hospice of Ballinger Hospice, Ballinger, TX, CCN 671570
  • Ballinger Memorial Hospital Hospital, Ballinger, TX, CCN 451310
  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Ballinger Healthcare and Rehabilitation Center Nursing home, Ballinger, TX, CCN 675614
  • Central Texas Nursing & Rehabilitation Nursing home, Ballinger, TX, CCN 675326
  • Ballinger Memorial Hospital Nursing home, CCN 45Z310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H4381TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ballinger Memorial Hospital District CurrentSince Jan 17, 2017 Accepting new patients
Ballinger Memorial Hospital District CurrentSince Jan 17, 2017 Accepting new patients
Ballinger Memorial Hospital District Past Accepting new patients
Ballinger Memorial Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Abilene Primary Care Associates Family Medicine Past Accepting new patients

Locations

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

2001 Hutchins Ave
Ste C
Ballinger, TX 76821
Phone (325) 365-2531

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10195/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/ballmhd-ac9e1005

Organizations & group practices 6

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 11

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912969627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768210617",
            "telephone_number": "325-365-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HUTCHINS AVE",
            "address_2": "SUITE C",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768214452",
            "telephone_number": "325-365-5737",
            "fax_number": "325-365-2405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Avenue B",
            "address_purpose": "LOCATION",
            "city": "Ballinger",
            "state": "TX",
            "postal_code": "768212406",
            "country_code": "US",
            "telephone_number": "325-365-2531",
            "fax_number": "325-365-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDWICKE",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H4381",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097822304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8GN448",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballinger, TX

Sources for this page

Verify at the official NPI Registry.