Individual provider Active NPI

Brandon Hanaway

  • Physician Assistant
  • Temple, TX
National Provider Identifier
1932839347
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16531 Issued in TX
Practice address
3550 S General Bruce Dr
Temple, TX 76504-5138
Phone
(254) 312-4031
NPI assigned
Jun 16, 2022
Last updated
Mar 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16531 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

3550 S General Bruce Dr
Temple, TX 76504-5138

Mailing address

5 Elm CT
Belton, TX 76513-9242
Phone (254) 231-2941

Other practice location 1

1201 W University Dr
Edinburg, TX 78539-2909
Phone (956) 665-7049

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
I20230404000237 TX Practitioner - Physician Assistant 1355716499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

3550 S General Bruce Dr
Suite 115
Temple, TX 76504-5138
Phone (254) 312-4031

4301 W William Cannon Dr
Suite 300
Austin, TX 78749-1473
Phone (512) 222-8868

5004 Gattis School Rd
Suite 260
Hutto, TX 78634-2032
Phone (512) 229-1534

603 Louis Henna Blvd
Suite B140
Round Rock, TX 78664-4102
Phone (512) 200-2269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16531TXMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1932839347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ELM CT",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765139242",
            "telephone_number": "254-231-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S GENERAL BRUCE DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045138",
            "telephone_number": "254-312-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785392909",
            "country_code": "US",
            "telephone_number": "956-665-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANAWAY",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16531",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.