BLACKHAWK PHYSICIAN GROUP – NPI #1609021765
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

BLACKHAWK PHYSICIAN GROUP is a provider located in ROCKDALE, TX. NPPES has assigned the NPI number 1609021765 to BLACKHAWK PHYSICIAN GROUP on November 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACKHAWK PHYSICIAN GROUP below.

NPI Profile for
BLACKHAWK PHYSICIAN GROUP

NPI Number
1609021765
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLACKHAWK PHYSICIAN GROUP
Primary location
1700 BRAZOS AVE
ROCKDALE, TX 76567-2517
Phone: (512) 446-4502 Fax:
Mailing address
6500 RIVER PLACE BLVD
BUILDING 1, SUITE 350
AUSTIN, TX 78730-1119
Phone: (512) 681-3440 Fax:
Organization Subpart
Yes - BLACKHAWK PHYSICIAN GROUP is subpart of another organization.
Authorized Official
TODD BIEDERMAN
PRESIDENT/CEO
Phone: (512) 681-3440
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.