DR. BRENT LUCAS TREADAWAY (NPI# 1073838488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073838488 |
| Entity Type | Individual |
| Full Name | DR. BRENT LUCAS TREADAWAY |
| Credential | D.O. |
| Practice Address |
2201 S Clear Creek Rd Killeen TX 76549-4110 |
| Mailing Address |
204 Cherokee Rose Cir None Georgetown TX 78626-7120 |
| Practice Telephone | 2545267523 |
| Mailing Telephone | 5127840054 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Q0583 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 5101018697 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| Street Address |
2201 S CLEAR CREEK RD |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107141 | Hector J Castro | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2005-07-12 |
| 1487265831 | Joanna Moldenhauer | Dietitian, Registered | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2020-08-10 |
| 1184234619 | Rebecca Joy Rubio | Dietitian, Registered | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2020-08-10 |
| 1619539145 | Jillian Christine Hudson | Nurse Practitioner | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2019-07-04 |
| 1215491717 | Nina Marie Wilson | Nurse Practitioner | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2019-01-29 |
| 1568946960 | Jordan Yuen | Occupational Therapist | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2018-09-20 |
| 1215418280 | Emergency Associates of Central Texas Pa | Physician Assistant | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2018-08-27 |
| 1386132942 | Alexandra Hung | Physician Assistant | 2201 S Clear Creek Rd, Killeen, TX 76549 | 2018-04-28 |
| 1114453693 | Austin Charles Miller | Hospitalist | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2017-05-03 |
| 1225579956 | Pamela Roy-kondepati | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2017-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930420 | Killeen Emergency Center, LLC | Emergency Medicine | 800 W Central Texas Expy, Killeen, TX 76541 | 2018-08-01 |
| 1952760381 | Joanna Mcginty | Emergency Medicine | 850 W Central Texas Expy, Killeen, TX 76548-1890 | 2016-02-12 |
| 1669851903 | Sean K. Mccoy | Emergency Medicine | 36000 Darnall Loop, Attn: Mcxi-dem, Killeen, TX 76544-5095 | 2015-05-19 |
| 1700263043 | Seth Lewis Parkey | Emergency Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2015-05-06 |
| 1487071742 | Dustin Dwiggins | Emergency Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549 | 2014-03-25 |
| 1265857239 | Alexander Barrero | Emergency Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2014-02-26 |
| 1225392061 | Mitchell Home Visits Pllc | Emergency Medicine | 3816 S Clear Creek Rd, Killeen, TX 76549-4400 | 2012-06-26 |
| 1043570799 | Pegasus Emergency Group Rta, Pllc | Emergency Medicine | 2201 S Clear Creek Rd, Emergency Dept, Killeen, TX 76549-4110 | 2012-05-29 |
| 1639480205 | Stephen Mcmillan | Emergency Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2010-06-28 |
| 1306057369 | Douglas Duart Jeffrey | Emergency Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2007-05-24 |
| Find all providers in KILLEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.