1. Home
  2. Directory
  3. Texas
  4. Bonham
  5. Family Medicine
  6. NPI Profile

BONHAM SPECIALTY CLINIC
NPI 1568695310
Family Medicine in Bonham, TX

Active since August 27, 2009
505 LIPSCOMB ST, BONHAM, TX 75418(903) 640-4809(903) 640-4950 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bonham Specialty Clinic NPPES

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

BONHAM SPECIALTY CLINIC (NPI 1568695310) is a healthcare organization registered as a family medicine in Bonham, Texas and active in the NPI registry since August 2009. The organization lists Christopher Zeringue, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568695310
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFANNIN COUNTY HOSPITAL AUTHORITY
Location Address505 LIPSCOMB STBonham, TX 75418-4027
Mailing Address504 Lipscomb StBonham, TX 75418-4028 · (903) 583-8585 · Fax (903) 640-7601
Phone(903) 640-4809
Fax(903) 640-4950
Organization SubpartYes
Authorized OfficialChristopher ZeringueCeo · (903) 640-7310
Enumeration DateAugust 27, 2009
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1568695310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
505 LIPSCOMB ST, Bonham, TX 75418
Open in Google Maps ↗

Other Names 1

Doing Business AsBonham Specialty Clinic

Other Identifiers 1

Medicaid3326597TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonham Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bonham Specialty Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

David Stange, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700883188
1303 N TRAVIS ST
Sherman, TX 75092
(903) 892-3282
✔ Accepts Medicare26 mi
Harold Brown, DPM
Podiatry
NPI 1962635185
205 S PRESTON RD STE 110
Celina, TX 75009
(972) 382-8922
✔ PECOS✔ Accepts Medicare39 mi
Jack Forest, D.O.
General Surgery
NPI 1679560775
2016 S MAIN ST
Maryville, MO 64468
(660) 562-2600
✔ PECOS✔ Accepts Medicare471 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fannin County Hospital Authority's NPI number?

The NPI number for Fannin County Hospital Authority is 1568695310. It was assigned to this organization in the NPPES registry on August 27, 2009. The provider is doing business as Bonham Specialty Clinic.

Where is Fannin County Hospital Authority located?

Fannin County Hospital Authority is located at 505 Lipscomb St, Bonham, TX 75418. The listed phone number is (903) 640-4809.

What is Fannin County Hospital Authority's specialty?

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

Is Fannin County Hospital Authority enrolled in Medicare?

Yes. Fannin County Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fannin County Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fannin County Hospital Authority, in Certified Registered Nurse Anesthetist (CRNA), General Surgery and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fannin County Hospital Authority was last updated on October 29, 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.