Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brentwood Family Practice PLLC

Organization Family Medicine Physician · NPI 1093639254

Brentwood Family Practice PLLC provides Family Medicine Physician services 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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