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NPI Code Detail

MEDICARE: BRUSHY CREEK EMERGENCY PHYSICIANS PLLC

MEDICARE: BRUSHY CREEK EMERGENCY PHYSICIANS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician
2207X00000XOrthopaedic Surgery Physician
32084P0802XAddiction Psychiatry Physician
4363L00000XNurse Practitioner
52084P2900XPain Medicine (Psychiatry & Neurology) Physician
6208M00000XHospitalist Physician
7101YA0400XAddiction (Substance Use Disorder) Counselor
8207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1235773151
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRUSHY CREEK EMERGENCY PHYSICIANS PLLC
Provider Business Mailing Address
First Line : 1464 E WHITESTONE BLVD STE 1101
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-9070
Country : US
Telephone Number : 512-766-1400
Fax Number :
Provider Business Practice Location Address
First Line : 230 DEER RIDGE DR
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-5515
Country : US
Telephone Number : 512-766-1400
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PATIENT ACCESS
Name : NICOLE CAMPBELL
Credential :
Telephone Number : 512-948-1752
Provider Enumeration Date : 11/04/2019
Last Update Date : 11/07/2024

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Directions to “BRUSHY CREEK EMERGENCY PHYSICIANS PLLC ” Practice Location

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