Unknown Individual – Family Medicine Physician, NPI 1285694984

Unknown Individual is a healthcare provider. based in Brownwood, Texas. specializing in Family Medicine Physician. They hold a License No. G4784 (TX). The NPI Number for Unknown Individual is 1285694984

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285694984
Phone
(325) 646-5296
Address
1604 14TH ST
Deactivation Date
8 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
3256465296
Graduation Year
1983 (43 years ago)
PAC ID
5799869210
Group Practice PAC ID
0143358002
Professional Enrollment ID
I20080222000184
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

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Provider Addresses for Unknown Individual

  • 1604, 14th Street, Brownwood, Orange, Orange County, Texas, 77630, United States

    BROWNWOOD, TX 768015314

    Phone: (325) 646-5296

    Fax: (325) 646-5820

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $291.

Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($195).

Total Amount

$291

General + Research + Ownership

Payments

3

Total payment records

General Amount

$291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

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
95165Professional service for preparation and provision of 1 or more antigens84011$0
95117Professional service for multiple injections of allergen29812$0
99214Established patient office or other outpatient visit, 30-39 minutes203112$0
36415Insertion of needle into vein for collection of blood sample180119$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month8559$0
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Insurance plans in this area (ZIP 76801)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1285694984 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Brownwood?
Public fields place Unknown Individual around Brownwood, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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