Organization Active NPI

Brownwood Urological Associates PA

  • Urology Physician
  • Brownwood, TX
National Provider Identifier
1972532190
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
BROWNWOOD UROLOGICAL ASSOCIATES PA
Practice address
100 Miller Dr
Brownwood, TX 76801-5947
Phone
(325) 643-2000
Fax
(325) 643-2099
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Crescent L Clark
Title
Billing
Phone
(325) 643-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

100 Miller Dr
Brownwood, TX 76801-5947

Mailing address

100 Miller Dr
Brownwood, TX 76801-5947
Phone (325) 643-2000

Other identifiers 2

IdentifierTypeStateIssuer
0093NTOtherTXBLUE CROSS
182555601MedicaidTX

National Provider Directory

National Provider Directory

Locations

100 Miller Dr
Brownwood, TX 76801
Phone (325) 643-2000

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1972532190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MILLER DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015947",
            "telephone_number": "325-643-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILLER DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015947",
            "telephone_number": "325-643-2000",
            "fax_number": "325-643-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNWOOD UROLOGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CRESCENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "325-643-2000"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0093NT",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182555601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.