Active NPI
James Brian McPherson, CP LP
- Prosthetist
- Tyler, TX
National Provider Identifier
1154916013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 1261
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1261 | TX | MD | Prosthetic/Orthotic Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Prosthetics Inc | Prosthetist | Current | 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.