Active NPI
Robert A Brimmer II, M.D.
- Psychiatric Hospital
- Abilene, TX
National Provider Identifier
1942320197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- K3110
- Practice address
- 2501 Maple St
Abilene, TX 79602-5058 - Phone
- (325) 795-3412
- Fax
- (325) 795-3374
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | K3110 | TX | Primary |
Addresses
Primary practice location
2501 Maple St
Abilene, TX 79602-5058
Mailing address
2501 Maple St
P.O. Box 451
Abilene, TX 79602-5058
Phone (325) 795-3412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043793101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3110 | TX | MD | Psychiatric Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pecan Valley MHMR Region | Past | Accepting new patients | |
| Pecan Valley MHMR Region | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Cleburne, TX
- NPI 1285342295
-
- Community/Behavioral Health Agency
- Granbury, TX
- NPI 1891915708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1942320197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 MAPLE ST",
"address_2": "P.O. BOX 451",
"city": "ABILENE",
"state": "TX",
"postal_code": "796025058",
"telephone_number": "325-795-3412",
"fax_number": "325-795-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 MAPLE ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796025058",
"telephone_number": "325-795-3412",
"fax_number": "325-795-3374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMMER",
"first_name": "ROBERT",
"middle_name": "A",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "TX",
"license": "K3110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043793101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.