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COGGIN AVENUE MEDICAL PARK PLLC
NPI 1609001239
Nurse Practitioner - Family in Brownwood, TX

Active since May 27, 2009
2201 COGGIN AVE, BROWNWOOD, TX 76801(325) 646-7828(325) 646-7888 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coggin Avenue Medical Park Pllc NPPES

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

COGGIN AVENUE MEDICAL PARK PLLC (NPI 1609001239) is a healthcare organization registered as a family in Brownwood, Texas and active in the NPI registry since May 2009. The organization lists Katy M Lord, Facility Manager, as its authorized official.

NPPES Registry Identity

NPI1609001239
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOGGIN AVENUE MEDICAL PARK PLLC
Location Address2201 COGGIN AVEBrownwood, TX 76801-4734
Mailing Address2201 Coggin AveBrownwood, TX 76801-4734 · (325) 646-7828 · Fax (325) 646-7888
Phone(325) 646-7828
Fax(325) 646-7888
Organization SubpartNo
Authorized OfficialKaty M LordFacility Manager · (325) 646-7828
Enumeration DateMay 27, 2009
Last NPPES UpdateMarch 15, 2011
✔ NPI 1609001239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2201 COGGIN AVE, Brownwood, TX 76801
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Other Identifiers 2

Medicaid205587301TX
Medicare PIN0A4569

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

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.

ACCUSCREEN LLC
Nurse Practitioner (Family)
2201 COGGIN AVE
BROWNWOOD, TX 76801
Brown County (325) 646-7828
AMY MICHELLE MURPHY FNP-BC
Nurse Practitioner (Family)
2201 COGGIN AVE
BROWNWOOD, TX 76801
Brown County (325) 646-7828

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 Coggin Avenue Medical Park PLLC's NPI number?

The NPI number for Coggin Avenue Medical Park PLLC is 1609001239. It was assigned to this organization in the NPPES registry on May 27, 2009.

Where is Coggin Avenue Medical Park PLLC located?

Coggin Avenue Medical Park PLLC is located at 2201 Coggin Ave, Brownwood, TX 76801. The listed phone number is (325) 646-7828.

What is Coggin Avenue Medical Park PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Coggin Avenue Medical Park PLLC was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.