Individual provider Active NPI

Brian C Procter, M.D.

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1093780330
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7202 Issued in TX
Practice address
7692 Eldorado Pkwy W
McKinney, TX 75070-5652
Phone
(972) 562-8388
Fax
(972) 540-2219
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7202 TX Primary

Addresses

Primary practice location

7692 Eldorado Pkwy W
McKinney, TX 75070-5652

Mailing address

7692 Eldorado Pkwy W
McKinney, TX 75070-5652
Phone (972) 562-8388

Other identifiers 3

IdentifierTypeStateIssuer
TX5957OtherTXPHCS
930093930OtherTXPALMETTO GBA RAILROAD
0063EROtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7692 Eldorado Pkwy
McKinney, TX 75070-5652

7692 Eldorado Pkwy W
McKinney, TX 75070-5652

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1093780330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7692 ELDORADO PKWY W",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705652",
            "telephone_number": "972-562-8388",
            "fax_number": "972-540-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7692 ELDORADO PKWY W",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705652",
            "telephone_number": "972-562-8388",
            "fax_number": "972-540-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTER",
        "first_name": "BRIAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "TX5957",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "930093930",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0063ER",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.