Basin Podiatry P a

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1926 Issued in TX

Legal business name

BASIN PODIATRY P A

Practice address

2903 Billy Hext Road
Odessa, TX 79765

Phone

(432) 550-3668

Fax

(432) 550-3671

NPI assigned

Mar 12, 2013

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hillary E Brunner, DPMNPI 1992834261

Title

Director

Phone

(917) 575-5488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hillary Elizabeth Brunner, D.P.M.

  • Foot Surgery Podiatrist
  • Odessa, TX
  • NPI 1992834261
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1962743203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OASIS",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658574",
            "telephone_number": "432-550-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 BILLY HEXT ROAD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79765",
            "telephone_number": "432-550-3668",
            "fax_number": "432-550-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN PODIATRY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-575-5488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basin Kidney Care Specialists PA
• Basin Kidney Center, PA
• Basin Orthopedic Surgical Specialists, P.a.
• Basin Orthopedic Surgical Specialists, P.a.
• Basin Orthotic & Prosthetic Center PLLC
• Alexander Andres Bastidas Palacios, M.D.
• Kenneth H. Batch, M.D.
• Miranda Ellisa Baumguardner, FNP-C
• Tamara Rachelle Bavousett, RN, C-PNP
• Kendra Ann Baxter, MS.CCC/SLP

• Foot & Ankle Surgery Podiatrist in Odessa, TX
• Providers in Odessa, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.