Active NPI
Brenda Theresa Buffington, MIDWIFE
- Midwife
- Livingston, TX
National Provider Identifier
1164598942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 96152
- Practice address
- 203 N. Jackson
Livingston, TX 77351 - Phone
- (409) 739-3904
- Fax
- (936) 328-5226
- NPI assigned
- Nov 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | 96152 | TX | |
| Midwife | 176B00000X | 96152 | TX | Primary |
Addresses
Primary practice location
203 N. Jackson
Livingston, TX 77351
Mailing address
452 Ashley
Livingston, TX 77351
Phone (409) 739-3904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3648065 | Medicaid | TX |
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 |
|---|---|---|---|
| 96152 | TX | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164598942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 ASHLEY",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "77351",
"telephone_number": "409-739-3904",
"fax_number": "936-328-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 N. JACKSON",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "77351",
"telephone_number": "409-739-3904",
"fax_number": "936-328-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFINGTON",
"first_name": "BRENDA",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "MIDWIFE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "TX",
"license": "96152",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "96152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3648065",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.