Active NPI
Anthony S. Manfre, M.D.
- Adult Medicine Physician
- Brenham, TX
National Provider Identifier
1245227545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- C7691
- Practice address
- 2501 Oakwood Dr
Brenham, TX 77833-9227 - Phone
- (979) 421-6888
- NPI assigned
- Oct 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | C7691 | TX | Primary |
Addresses
Primary practice location
2501 Oakwood Dr
Brenham, TX 77833-9227
Mailing address
2501 Oakwood Dr
Brenham, TX 77833-9227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7691 | TX | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1245227545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 OAKWOOD DR",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778339227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 OAKWOOD DR",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778339227",
"telephone_number": "979-421-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANFRE",
"first_name": "ANTHONY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-02",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "C7691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.