NPIMap

Organization Active NPI

Lance D Brigman, MD, PS

  • Family Medicine Physician
  • Longview, WA
National Provider Identifier
1053505149
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00013785 Issued in WA
Legal business name
LANCE D BRIGMAN, MD, PS
Practice address
1004 Fir St
Longview, WA 98632-2527
Phone
(360) 423-6110
Fax
(360) 423-8078
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lance D Brigman, M.D.NPI 1235131590
Title
M.D.
Phone
(360) 423-6110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD00013785 WA Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X MD00030053 WA

Addresses

Primary practice location

1004 Fir St
Longview, WA 98632-2527

Mailing address

1004 Fir St
Longview, WA 98632-2527
Phone (360) 423-6110

Other identifiers 2

IdentifierTypeStateIssuer
1104009MedicaidWA
1084862MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1053505149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 FIR ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322527",
            "telephone_number": "360-423-6110",
            "fax_number": "360-423-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 FIR ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322527",
            "telephone_number": "360-423-6110",
            "fax_number": "360-423-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE D BRIGMAN, MD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "BRIGMAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "360-423-6110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00013785",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00030053",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104009",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084862",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.