# BROWNWOOD SPECIALTY GROUP, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brownwood Specialty Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487696688
- **Authorized official:** DR. GARY N BUTKA M.D. (OWNER)
- **Authorized official phone:** (325) 643-5521

## Contact information

- **Practice address:** 2502 CROCKETT DR, BROWNWOOD, TX 76801-5900
- **Practice address phone:** (325) 643-5521
- **Mailing address:** 2502 CROCKETT DR, BROWNWOOD, TX 76801-5900
- **Mailing address phone:** (325) 643-5521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H0955 | TX | — |
| 207Q00000X | Family Medicine Physician | L2503 | TX | — |
| 207Q00000X | Family Medicine Physician | L3615 | TX | — |
| 207R00000X | Internal Medicine Physician | K2249 | TX | — |
| 207RI0200X | Infectious Disease Physician | G6479 | TX | — |
| 208600000X | Surgery Physician | E1026 | TX | — |
| 208D00000X | General Practice Physician | D4147 | TX | — |
| 363L00000X | Nurse Practitioner | 587449 | TX | Yes |
| 363L00000X | Nurse Practitioner | 606438 | TX | — |
| 363L00000X | Nurse Practitioner | 643131 | TX | — |
| 363L00000X | Nurse Practitioner | 706322 | TX | — |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 05/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0079DJ | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 081342003 | — | TX |