The Bancroft Center for Plastic & Reconstructive Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

N1992 Issued in TX

Legal business name

THE BANCROFT CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PLLC

Practice address

2171 Texas Drive
Sugar Land, TX 77479

Phone

(281) 313-0540

Fax

(281) 313-0542

NPI assigned

May 28, 2010

Organization subpart

No

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

Authorized official

Name

Gregory Bancroft, MD, PHD

Title

Owner/Physician

Phone

(281) 313-0540

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1134448277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 TEXAS DRIVE",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-313-0540",
            "fax_number": "281-313-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 TEXAS DRIVE",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-313-0540",
            "fax_number": "281-313-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BANCROFT CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "281-313-0540",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N1992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP. NUMBER",
            "identifier": "0058TN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.