NPIMap

Organization Active NPI

Brian Spore DO PA

  • Point of Service
  • Lufkin, TX
National Provider Identifier
1114218708
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Dr. Brian SporeNPI 1619077708
Title
DO
Phone
(936) 634-2231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X K5703 TX Primary

Addresses

Primary practice location

3804 S Medford Dr
Lufkin, TX 75901-5780

Mailing address

3804 S Medford Dr
Lufkin, TX 75901-5780
Phone (936) 634-2231

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • 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.