Organization
BIG BEND MEDICAL GROUP
Active
Other names
FAMILY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (VP PHYSICIAN SERVICES FINANCIAL OPS)
(615) 221-3641
Entity
Organization
Contact information
Practice address
1501 W 11TH PL STE 100, BIG SPRING, TX 79720-4122
(432) 263-6018
Mailing address
PO BOX 5009, BRENTWOOD, TN 37024-5009
(615) 221-1400
(615) 221-1484
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047ER
BCBS
TX
05
—
092556201
—
TX
05
—
092556202
—
TX
Enumeration date
12/19/2005
Last updated
09/02/2025
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