Individual provider Active NPI

James Brian McPherson, CP LP

  • Prosthetist
  • Tyler, TX
National Provider Identifier
1154916013
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
1261 Issued in TX
Practice address
701 Turtle Creek Dr
Tyler, TX 75701-1834
Phone
(903) 595-2600
NPI assigned
Mar 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 1261 TX
Prosthetist 224P00000X 1261 TX Primary

Addresses

Primary practice location

701 Turtle Creek Dr
Tyler, TX 75701-1834

Mailing address

701 Turtle Creek Dr
Tyler, TX 75701-1834
Phone (903) 595-2600

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1261TXMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Prosthetics Inc Prosthetist CurrentSince Mar 7, 2021 Accepting new patients

Locations

701 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 595-2229

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1154916013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011834",
            "telephone_number": "903-595-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011834",
            "telephone_number": "903-595-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "JAMES",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "CP LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1261",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.