Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brentwood Family Practice PLLC

Organization Family Medicine Physician · NPI 1093639254

Brentwood Family Practice PLLC is a Family Medicine Physician in Austin, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 W Koenig Ln Ste 140
Austin, TX 78756-1425
Phone: (512) 363-9043
Fax: (512) 675-8598
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1093639254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Fardal — Owner · (512) 363-9043
NPI enumeratedAugust 8, 2026
Last updated in NPPESAugust 8, 2026
Certification dateAugust 8, 2026
Mailing address1300 W Koenig Ln Ste 140, Austin, TX 78756-1425

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