Organization Active NPI

Brazos Regional Neurology, PA

  • Neurology Physician
  • Weatherford, TX
National Provider Identifier
1952616005
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N5736 Issued in TX
Legal business name
BRAZOS REGIONAL NEUROLOGY, PA
Practice address
150 Willow Creek Dr Ste 103
Weatherford, TX 76085-3652
Phone
(817) 599-6387
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Sheri A. Strunk
Title
Owner
Phone
(817) 599-6387

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X N5736 TX
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X N5736 TX Primary

Addresses

Primary practice location

150 Willow Creek Dr Ste 103
Weatherford, TX 76085-3652

Mailing address

150 Willow Creek Dr Ste 103
Weatherford, TX 76085-3652
Phone (817) 599-6387

Other practice location 1

1212 Clear Lake Rd Ste 300
Weatherford, TX 76086-5879
Phone (817) 599-6387

Other identifiers 1

IdentifierTypeStateIssuer
219426801MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheri.hull.1@2626.direct.athenahealth.com

National Provider Directory

National Provider Directory

Locations

150 Willow Creek Dr
Weatherford, TX 76085
Phone (817) 550-5058

Interoperability endpoints

  • Direct secure messaging: sheri.hull.1@2626.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2626/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1952616005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WILLOW CREEK DR STE 103",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760853652",
            "telephone_number": "817-599-6387",
            "fax_number": "817-599-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WILLOW CREEK DR STE 103",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760853652",
            "telephone_number": "817-599-6387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Clear Lake Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865879",
            "country_code": "US",
            "telephone_number": "817-599-6387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAZOS REGIONAL NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "STRUNK",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-599-6387"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "N5736",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N5736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219426801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheri.hull.1@2626.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "150 Willow Creek Dr",
            "city": "Weatherford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760853651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.