Organization Active NPI

Oncology Physicians of Central Texas, PA

  • Radiation Oncology Physician
  • Brenham, TX
National Provider Identifier
1922166602
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ONCOLOGY PHYSICIANS OF CENTRAL TEXAS, PA
Practice address
605 Medical CT
#101
Brenham, TX 77833-5404
Phone
(281) 579-0061
Fax
(281) 579-0093
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Clair Callaway
Title
Director of Client Services
Phone
(877) 839-9517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

605 Medical CT
#101
Brenham, TX 77833-5404

Mailing address

PO Box 5575
Pasadena, TX 77508-5575
Phone (281) 579-0061

Other identifiers 1

IdentifierTypeStateIssuer
191336001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609000676 TX Part B Supplier - Clinic/Group Practice 2365485372 Receives reassigned benefits from 2 practitioners
Practice locations: Huntsville, TX; Brenham, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1922166602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5575",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775085575",
            "telephone_number": "281-579-0061",
            "fax_number": "281-579-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MEDICAL CT",
            "address_2": "#101",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335404",
            "telephone_number": "281-579-0061",
            "fax_number": "281-579-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY PHYSICIANS OF CENTRAL TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "CLAIR",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "877-839-9517"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191336001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.