NPI age
20 years
Enumerated 2006-02-10
● Active
Type 1 · Individual
Jason Kelly Brockway, MD
Brockway is 1 of 9 family medicine providers in Kilgore and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
1718 S Henderson Blvd
Kilgore, TX 756623566
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
2101 W Loop 281
Longview, TX 756042506
Location 3
705 E Marshall Ave Ste 1002
Longview, TX 756015660
Location 4
1614 S Henderson Blvd # A
Kilgore, TX 756623518
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 752616977017 | TRICARE CHAMPUS |
| 05 (TX) | 113244106 | |
| 01 (TX) | 117311 | SUPERIOR CHIPS |
| 05 (TX) | 081026902 | |
| 01 (TX) | 752616977017 | TRICARE |
| 01 (TX) | 87581G | BCBS OF TEXAS |
| 05 (TX) | 113244103 | |
| 01 (TX) | 117311 | CHIPS |
| 01 (TX) | 5411635 | AETNA |
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.