SYCAMORE FAMILY MEDICINE
NPI 1245843051
Family Medicine in Shallowater, TX

Active since August 31, 2020CLIA 45D2206368 · Waiver
1502 12TH ST STE A, SHALLOWATER, TX 79363(806) 832-4566 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2021, Oct 21, 2020, Aug 31, 2020 (3 updates tracked since 2020).

About Sycamore Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYCAMORE FAMILY MEDICINE (NPI 1245843051) is a healthcare organization registered as a family medicine in Shallowater, Texas and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Brian Carreon, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1245843051
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRIAN CARREON MD PA
Location Address1502 12TH ST STE AShallowater, TX 79363-5651
Mailing AddressPo Box 2088Shallowater, TX 79363-2088 · (806) 832-4566
Organization SubpartNo
Authorized OfficialBrian CarreonOwner/provider · (806) 392-5935
Enumeration DateAugust 31, 2020
Last NPPES UpdateJanuary 5, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
NPI 1245843051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1502 12TH ST STE A, Shallowater, TX 79363

Other Names 1

Doing Business AsSycamore Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2206368

Brian Carreon MD PA Dba Sycamore Family Medicine · Shallowater, TX
Active · expires Dec 17, 2026
CLIA Number45D2206368
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorBrian K. Carreon
Laboratory Phone(806) 696-3700
Laboratory LocationBrian Carreon MD PA Dba Sycamore Family Medicine1502 12th St Ste A, Shallowater, TX 79363
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1502 12TH ST STE A
SHALLOWATER, TX 79363
Nurse Practitioner (Family)
1502 12TH ST STE A
SHALLOWATER, TX 79363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Carreon MD PA's NPI number?

The NPI number for Brian Carreon MD PA is 1245843051. It was assigned to this organization in the NPPES registry on August 31, 2020. The provider is doing business as Sycamore Family Medicine.

Where is Brian Carreon MD PA located?

Brian Carreon MD PA is located at 1502 12th St Ste A, Shallowater, TX 79363. The listed phone number is (806) 832-4566.

What is Brian Carreon MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Brian Carreon MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2206368) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brian Carreon MD PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Brian Carreon MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Carreon MD PA was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.