Unknown Individual – Family Medicine Physician, NPI 1134233836

Unknown Individual is a healthcare provider. based in Mexia, Texas. specializing in Family Medicine Physician. They hold a License No. F5376 (TX). The NPI Number for Unknown Individual is 1134233836

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134233836
Phone
(254) 562-9955
Address
514 S BONHAM ST
Deactivation Date
28 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
2548835508
Graduation Year
1975 (51 years ago)
PAC ID
6901843895
Group Practice PAC ID
3173694031
Professional Enrollment ID
I20050412001110
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 514, South Bonham Street, Springfield, Mexia, Limestone County, Texas, 76667, United States

    MEXIA, TX 766673600

    Phone: (254) 562-9955

    Fax: (254) 562-9967

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg44363$0
99214Established patient office or other outpatient visit, 30-39 minutes385246$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes22078$0
96372Injection of drug or substance under skin or into muscle155114$0
J0696Injection, ceftriaxone sodium, per 250 mg10226$0
View full utilization report →

Insurance plans in this area (ZIP 76667)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173694031View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1134233836.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Mexia, Texas in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. DILEEP C BHATELEY (M.D.)

General Practice Physician
514, South Bonham Street, Springfield, Mexia, Limestone County, Texas, 76667, United States
NPI: 1467456962

DR. BILL RAY LEE (MD)

Family Medicine Physician
514, South Bonham Street, Springfield, Mexia, Limestone County, Texas, 76667, United States
NPI: 1316911233

RONALD D. STEPHENS, M. D., P. A.

Family Medicine Physician
514 S BONHAM ST STE J
NPI: 1114935533

STEPHANIE DENISE O'DONNELL (MD)

Family Medicine Physician
5702, East Central Texas Expressway, Killeen, Bell County, Texas, 76543, United States
NPI: 1497859847

DR. GEOFFREY MEYER PALTER (M.D.)

Family Medicine Physician
426 MSS MAIN STREET
NPI: 1023112489

Mexia State Supported Living Center

Intellectual Disabilities Intermediate Care Facility
PO BOX 1132
NPI: 1699869289

JAMES LOWELL RYMAN (M.D.)

Family Medicine Physician
311, East Milam Street, Mexia, Limestone County, Texas, 76667, United States
NPI: 1841352424

DR. JOAN M MCCLARY (M.D.)

Family Medicine Physician
Mexia State Supported Living Center, 540, Chapel Drive, Mexia, Limestone County, Texas, 76667, United States
NPI: 1356533426

Parkview Regional Medical Clinic

Internal Medicine Physician
103, Powell Court, Land Mark, Brentwood, Williamson County, Tennessee, 37027, United States
NPI: 1427229947