| Brushy Creek Emergency Physicians Pllc | |
|
230 Deer Ridge Dr Round Rock TX 78681-5515 | |
| (512) 766-1400 | |
| Not Available |
| Full Name | Brushy Creek Emergency Physicians Pllc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 230 Deer Ridge Dr, Round Rock, Texas |
| Authorized Official Name and Position | Nicole Campbell (DIRECTOR OF PATIENT ACCESS) |
| Authorized Official Contact | 5129481752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brushy Creek Emergency Physicians Pllc 1464 E Whitestone Blvd Ste 1101 Cedar Park TX 78613-9070 Ph: (512) 766-1400 | Brushy Creek Emergency Physicians Pllc 230 Deer Ridge Dr Round Rock TX 78681-5515 Ph: (512) 766-1400 |
| NPI Number | 1235773151 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Medicare PECOS PAC ID | 8729483854 |
|---|---|
| Medicare Enrollment ID | O20210826003061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235773151 | NPI | - | NPPES |
| Provider Name | Jackie Lee Hinds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346277324 PECOS PAC ID: 4284535451 Enrollment ID: I20040207000301 |
| Provider Name | Keith R Hurst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275598393 PECOS PAC ID: 9739177718 Enrollment ID: I20040506000558 |
| Provider Name | Sanjeev Dubey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487619755 PECOS PAC ID: 1456340264 Enrollment ID: I20040507000701 |
| Provider Name | Scott W Spann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861487001 PECOS PAC ID: 1658261425 Enrollment ID: I20040524000410 |
| Provider Name | Ryan P Ramsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962450593 PECOS PAC ID: 3971584053 Enrollment ID: I20040525001397 |
| Provider Name | Lucas Jacomides |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750381620 PECOS PAC ID: 3779564851 Enrollment ID: I20040525001414 |
| Provider Name | Bogdan A Chumak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316992316 PECOS PAC ID: 5597748038 Enrollment ID: I20040608000213 |
| Provider Name | Dean Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952313181 PECOS PAC ID: 2860478849 Enrollment ID: I20040629000921 |
| Provider Name | Richard V Daniels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568485621 PECOS PAC ID: 9234103862 Enrollment ID: I20040820000442 |
| Provider Name | Eric J Miller |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1619974789 PECOS PAC ID: 8527031285 Enrollment ID: I20040823000240 |
| Provider Name | Bobby J Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336253590 PECOS PAC ID: 2365401817 Enrollment ID: I20041008000950 |
| Provider Name | Harold T Elder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346238789 PECOS PAC ID: 8224098116 Enrollment ID: I20041014001050 |
| Provider Name | Sal S Sandoval |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699798389 PECOS PAC ID: 9739149246 Enrollment ID: I20041018001184 |
| Provider Name | Michael L Murphy |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609875970 PECOS PAC ID: 0143283986 Enrollment ID: I20050531000902 |
| Provider Name | Monica Lisa Saenz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932125887 PECOS PAC ID: 5597700559 Enrollment ID: I20050621000967 |
| Provider Name | Suneet Kumar Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427000116 PECOS PAC ID: 4284679762 Enrollment ID: I20050624000509 |
| Provider Name | Todd A Nash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053362087 PECOS PAC ID: 5092791491 Enrollment ID: I20050808000767 |
| Provider Name | Wayne A Hurst |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194758482 PECOS PAC ID: 6002833472 Enrollment ID: I20051026000281 |
| Provider Name | Sheldon E Rockwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558315499 PECOS PAC ID: 9335158468 Enrollment ID: I20060418000224 |
| Provider Name | John G Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174579593 PECOS PAC ID: 4284646191 Enrollment ID: I20060614000199 |
| Provider Name | Russell J Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740232156 PECOS PAC ID: 6204832967 Enrollment ID: I20061020000090 |
| Provider Name | Steven A Jennings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932123643 PECOS PAC ID: 4880693639 Enrollment ID: I20061205000738 |
| Provider Name | Leslie G Poer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265486344 PECOS PAC ID: 9638194293 Enrollment ID: I20070201000537 |
| Provider Name | Darryl B Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326029497 PECOS PAC ID: 5991707788 Enrollment ID: I20070207000461 |
| Provider Name | Kerry C Latch |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1114907169 PECOS PAC ID: 9931201316 Enrollment ID: I20070305000196 |
| Provider Name | Omar Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659475309 PECOS PAC ID: 4183727555 Enrollment ID: I20070306000360 |
| Provider Name | Edward J Spitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861436057 PECOS PAC ID: 8527165984 Enrollment ID: I20080123000367 |
| Provider Name | Christopher J Schmeil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578505657 PECOS PAC ID: 1355404476 Enrollment ID: I20090114000852 |
| Provider Name | Christopher S Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174508295 PECOS PAC ID: 9133283773 Enrollment ID: I20090127000485 |
| Provider Name | Mark C Burr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356383467 PECOS PAC ID: 4082778527 Enrollment ID: I20090129000102 |
| Provider Name | Morgan K Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851581201 PECOS PAC ID: 3476602525 Enrollment ID: I20090519000595 |
| Provider Name | Richard A Schram |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548274913 PECOS PAC ID: 5092867606 Enrollment ID: I20090901000046 |
| Provider Name | Thomas H Barrows |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790795342 PECOS PAC ID: 5193870889 Enrollment ID: I20090901000665 |
| Provider Name | Henry L Higgins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316935356 PECOS PAC ID: 2769519909 Enrollment ID: I20100420001047 |
| Provider Name | Leigh Stewart Galatzan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649384017 PECOS PAC ID: 1254469117 Enrollment ID: I20100513000556 |
| Provider Name | Ebony R Rucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851602908 PECOS PAC ID: 0840487864 Enrollment ID: I20101202001316 |
| Provider Name | Todd Akins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326027863 PECOS PAC ID: 4587840038 Enrollment ID: I20110517000654 |
| Provider Name | Jason M Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003077058 PECOS PAC ID: 1254520893 Enrollment ID: I20110825000094 |
| Provider Name | Amol Dilip Desai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376707349 PECOS PAC ID: 7315117447 Enrollment ID: I20110829000639 |
| Provider Name | Henry Wade David |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114975943 PECOS PAC ID: 0345216131 Enrollment ID: I20110915000855 |
| Provider Name | Nathaniel V Greenwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770798563 PECOS PAC ID: 7719043207 Enrollment ID: I20120620000141 |
| Provider Name | Nathan Joseph Borden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619104510 PECOS PAC ID: 4688824204 Enrollment ID: I20121017000241 |
| Provider Name | Sudeep D Burman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114277639 PECOS PAC ID: 0547411365 Enrollment ID: I20121102000529 |
| Provider Name | Massimo D Federico |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821259797 PECOS PAC ID: 1456515576 Enrollment ID: I20130116000126 |
| Provider Name | Guyon James Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629059316 PECOS PAC ID: 5294973541 Enrollment ID: I20130529000340 |
| Provider Name | Devang J. Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578875738 PECOS PAC ID: 4385886936 Enrollment ID: I20130809000475 |
| Provider Name | Pikul B Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114239571 PECOS PAC ID: 4981839834 Enrollment ID: I20131030000823 |
| Provider Name | Yan M Li |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932363843 PECOS PAC ID: 9032346481 Enrollment ID: I20131211000491 |
| Provider Name | Brent L Treadaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073838488 PECOS PAC ID: 1254582786 Enrollment ID: I20140829002145 |
| Provider Name | Vipul N Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134411572 PECOS PAC ID: 8820222656 Enrollment ID: I20140924001572 |
| Provider Name | Bennjamin D Fronk |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548587553 PECOS PAC ID: 1557582459 Enrollment ID: I20141017000902 |
| Provider Name | Konrad J Eppel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669449120 PECOS PAC ID: 2668422619 Enrollment ID: I20141120001707 |
| Provider Name | Natalya Stadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962818419 PECOS PAC ID: 9739405465 Enrollment ID: I20150224000537 |
| Provider Name | Matthew C Holden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871575969 PECOS PAC ID: 1658560974 Enrollment ID: I20150316000543 |
| Provider Name | Jessica Ann Best |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679833354 PECOS PAC ID: 2668792060 Enrollment ID: I20150527001101 |
| Provider Name | Jerome B Vu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811213267 PECOS PAC ID: 8325289796 Enrollment ID: I20150706001390 |
| Provider Name | Bryce G Gregerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821333469 PECOS PAC ID: 8729397393 Enrollment ID: I20151021002262 |
| Provider Name | Samuel F Huddleston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801139423 PECOS PAC ID: 2567754674 Enrollment ID: I20160711001938 |
| Provider Name | Sinikka L Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295789691 PECOS PAC ID: 8224081245 Enrollment ID: I20170109000498 |
| Provider Name | Humza Shahid Azam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740576271 PECOS PAC ID: 0941526230 Enrollment ID: I20170120002294 |
| Provider Name | Eric Scott Rosenberger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922323443 PECOS PAC ID: 6103132394 Enrollment ID: I20170131000844 |
| Provider Name | Ryan A Sipherd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477748002 PECOS PAC ID: 4284718719 Enrollment ID: I20170202001980 |
| Provider Name | Mohammed Ali Ashraf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285673913 PECOS PAC ID: 9931176294 Enrollment ID: I20170302002316 |
| Provider Name | Gillian E Munitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003179466 PECOS PAC ID: 0244547883 Enrollment ID: I20170412001823 |
| Provider Name | Ankur Prakash Bhakta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164714127 PECOS PAC ID: 3476860826 Enrollment ID: I20170609001449 |
| Provider Name | Andrew Robert Hall |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336470640 PECOS PAC ID: 2860641974 Enrollment ID: I20170720001532 |
| Provider Name | Travis M Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326081696 PECOS PAC ID: 1759284490 Enrollment ID: I20180215001408 |
| Provider Name | Shelby M Kerbow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114361326 PECOS PAC ID: 2769770684 Enrollment ID: I20180614001690 |
| Provider Name | Gregory S Patterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821447251 PECOS PAC ID: 8628324522 Enrollment ID: I20180709000152 |
| Provider Name | Terry Z Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336566579 PECOS PAC ID: 9537437496 Enrollment ID: I20181001002315 |
| Provider Name | John J Valentini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265474183 PECOS PAC ID: 5294748679 Enrollment ID: I20181120002103 |
| Provider Name | Jeremy M Hoenig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104833961 PECOS PAC ID: 0941201388 Enrollment ID: I20190208001086 |
| Provider Name | Ryan S Prudoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740483122 PECOS PAC ID: 0547360349 Enrollment ID: I20190509000399 |
| Provider Name | Sigrid Kersten Nasser Julsrud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962841908 PECOS PAC ID: 7113216508 Enrollment ID: I20190806000401 |
| Provider Name | Seth Lewis Koster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588906077 PECOS PAC ID: 9032410519 Enrollment ID: I20200130000133 |
| Provider Name | Erica L Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518500289 PECOS PAC ID: 3274941885 Enrollment ID: I20210421000086 |
| Provider Name | Amanda Michelle Broomhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962018101 PECOS PAC ID: 4284033507 Enrollment ID: I20210518002802 |
| Provider Name | Harrison Lobdell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154775740 PECOS PAC ID: 4284922378 Enrollment ID: I20210719003562 |
| Provider Name | Mona Saberi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992316327 PECOS PAC ID: 4183027444 Enrollment ID: I20210723000997 |
| Provider Name | Aditya B Pulikal |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1285993832 PECOS PAC ID: 9830448711 Enrollment ID: I20210819001770 |
| Provider Name | Dulinika Lakmali Handuwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568132405 PECOS PAC ID: 3476946203 Enrollment ID: I20220131001168 |
| Provider Name | Monique Pearl Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295224244 PECOS PAC ID: 4284020595 Enrollment ID: I20220413000227 |
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