Individual provider Active NPI

Brian W Griffin, NP

  • Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1922522630
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP134648 Issued in TX
Practice address
4606 Fountain LN.
Odessa, TX 79761
Phone
(432) 413-4759
NPI assigned
Aug 3, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP134648 TX Primary

Addresses

Primary practice location

4606 Fountain LN.
Odessa, TX 79761

Mailing address

4606 Fountain LN
Odessa, TX 79761-1913
Phone (432) 413-4759

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
I20171120003677 TX Practitioner - Nurse Practitioner 1052678414 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crane County Hospital DistrictGroup PAC ID 4880760222, shared by 3 NPIs, 6 clinicians

Practice addresses (Care Compare)

1310 S Alford St
Crane, TX 79731-3809
Phone (432) 558-3555

200 Robbie Rd
Crane, TX 79731-4802

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134648TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crane County Hospital District CurrentSince Jan 1, 2024 Accepting new patients
County of Ward CurrentSince Oct 1, 2024 Accepting new patients
County of Ward CurrentSince Oct 1, 2024 Accepting new patients
Crane County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Ector County Hospital District CurrentSince Nov 1, 2018 Accepting new patients
Crane County Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Crane County Hospital District Current Accepting new patients
MCH Professional Care Hospital Based CurrentSince Apr 1, 2021 Accepting new patients
Ector County Hospital District CurrentSince Nov 1, 2018 Accepting new patients
County of Ward Current Accepting new patients
Basin Emergency Physicians PLLC CurrentSince Apr 1, 2020 Accepting new patients
County of Ward Current Accepting new patients

Locations

1301 S Alford St
Crane, TX 79731
Phone (432) 558-3555

1310 S Alford St
Crane, TX 79731
Phone (432) 558-3555

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

540 W 5th St
Ste 350
Odessa, TX 79761
Phone (432) 332-7500

6030 W University Blvd
Odessa, TX 79764
Phone (432) 640-6600

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cranemh-eecf39fd

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922522630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 FOUNTAIN LN",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611913",
            "telephone_number": "432-413-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 FOUNTAIN LN.",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-413-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "BRIAN",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.