Brian Spore DO PA

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

K5703 Issued in TX

Legal business name

BRIAN SPORE DO PA

Practice address

3804 S Medford Dr
Lufkin, TX 75901-5780

Phone

(936) 634-2231

Fax

(936) 634-8012

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Brian Spore

Title

DO

Phone

(936) 634-2231

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1114218708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015780",
            "telephone_number": "936-634-2231",
            "fax_number": "936-634-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015780",
            "telephone_number": "936-634-2231",
            "fax_number": "936-634-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN SPORE DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "SPORE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "936-634-2231",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "K5703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092514101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• William Albert Bright, M.D.
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• Point of Service in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.