Brent R. Paulger, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

J6653 Issued in TX

Practice address

2202 Ithaca Ave
Lubbock, TX 79410-1332

Phone

(806) 797-1202

Fax

(806) 797-4854

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Texas Tech University Health Science Center School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of West Texas, LLPGroup PAC ID 7911048632, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305
• Covenant Hospital Plainview Hospital, Plainview, TX, CCN 450539
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bpaulger@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Associates of West Texas, LLP

  • Dermatology Physician
  • Lubbock, TX
  • NPI 1679704530
  Medicare reassignment Care Compare group NPD Authorized official
• Paulger Dermatology and Skin Cancer Center, PA

  • Dermatopathology Physician
  • Lubbock, TX
  • NPI 1316010994

  Dermatology

  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation
• Lubbock Heritage Hospital, LLC.

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499
  Care Compare affiliation
• Methodist Hospital Plainview Texas

  • General Acute Care Hospital
  • Plainview, TX
  • NPI 1073580726
  Care Compare affiliation
• Methodist Hospital Plainview Texas

  • Ambulatory Surgical Clinic/Center
  • Plainview, TX
  • NPI 1174630198

  Hospital

  Care Compare affiliation
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1093701468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 ITHACA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101332",
            "telephone_number": "806-797-1202",
            "fax_number": "806-797-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 ITHACA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101332",
            "telephone_number": "806-797-1202",
            "fax_number": "806-797-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULGER",
        "first_name": "BRENT",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "J6653",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "J6653",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J6653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NEW MEXICO",
            "identifier": "NM004352",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "070014509",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "121179100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS",
            "identifier": "8412K0",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpaulger@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "2202 Ithaca Ave",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794101332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patty'S Homefront, Inc.
• Cassie Fullingim Patzig, OTR
• Christina Pauda
• Chris Paul, LVN
• Paulger Dermatology and Skin Cancer Center, PA
• Pauline Clay
• Gage Paulk, LCDC
• Dushyant Suresh Pawar
• Jeff W. Paxton, M.D.
• Gabriel Angel Payan, LMT

• Dermatology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.