Individual provider Active NPI

Bradley Purkhiser, MD

  • Emergency Medicine Physician
  • Fredericksburg, TX
National Provider Identifier
1114995594
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G6681 Issued in TX
Practice address
4130 Pecan Creek Rd
Fredericksburg, TX 78624-6412
Phone
(830) 669-2107
NPI assigned
Mar 10, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G6681 TX Primary

Addresses

Primary practice location

4130 Pecan Creek Rd
Fredericksburg, TX 78624-6412

Mailing address

4130 Pecan Creek Rd
Fredericksburg, TX 78624-6412
Phone (830) 669-2107

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stonewall Memorial Hospital Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Bellville Medical Center PastSince Aug 6, 2019 Accepting new patients
Sabine County Hospital District Emergency Medicine Past Accepting new patients
Stonewall Memorial Hospital Past Accepting new patients
Seminole Hospital District of Gaines County Texas Emergency Medicine Past Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1114995594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 PECAN CREEK RD",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786246412",
            "telephone_number": "830-669-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 PECAN CREEK RD",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786246412",
            "telephone_number": "830-669-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURKHISER",
        "first_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.