Individual provider Active NPI

Brinson Stewart, FNP-C

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1922410828
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125693 Issued in TX
Practice address
607 Russell Blvd Ste a
Nacogdoches, TX 75965-1247
Phone
(936) 560-2920
Fax
(936) 462-9917
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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 AP125693 TX Primary

Addresses

Primary practice location

607 Russell Blvd Ste a
Nacogdoches, TX 75965-1247

Mailing address

607 Russell Blvd Ste a
Nacogdoches, TX 75965-1247
Phone (936) 560-2920

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
I20160219000223 TX Practitioner - Nurse Practitioner 0345545950 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physician Group - Etx PLLC CurrentSince Feb 3, 2025 Accepting new patients
Nacogdoches Medical Clinic PLLC CurrentSince Jan 22, 2016 Accepting new patients

Locations

206 Gene Samford Dr
Ste B
Lufkin, TX 75904
Phone (936) 634-3396

607 Russell Blvd
#A
Nacogdoches, TX 75965
Phone (936) 560-2920

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30724/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1922410828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 RUSSELL BLVD STE A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-560-2920",
            "fax_number": "936-462-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 RUSSELL BLVD STE A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-560-2920",
            "fax_number": "936-462-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRINSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.