Active NPI
Bobby Quentin Lanier, MD
- Allergy & Immunology Physician
- Benbrook, TX
National Provider Identifier
1114984259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- D7140
- Practice address
- 6310 Southwest Blvd
Suite 200
Benbrook, TX 76109-3998 - Phone
- (817) 731-9198
- Fax
- (817) 731-9199
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | D7140 | TX | Primary |
Addresses
Primary practice location
6310 Southwest Blvd
Suite 200
Benbrook, TX 76109-3998
Mailing address
5929 Balcones Dr Ste 200
Austin, TX 78731-4280
Phone (512) 550-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1114984259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5929 BALCONES DR STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314280",
"telephone_number": "512-550-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 SOUTHWEST BLVD",
"address_2": "SUITE 200",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761093998",
"telephone_number": "817-731-9198",
"fax_number": "817-731-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANIER",
"first_name": "BOBBY",
"middle_name": "QUENTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "D7140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.