Active NPI
Bradley J Lott, M.D.
- Anesthesiology Physician
- Frisco, TX
National Provider Identifier
1265462121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- H4501
- Practice address
- 1570 Crockett Dr
Frisco, TX 75034-7347 - Phone
- (214) 578-8848
- Fax
- (214) 872-1036
- NPI assigned
- Jul 4, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | H4501 | TX | Primary |
Addresses
Primary practice location
1570 Crockett Dr
Frisco, TX 75034-7347
Mailing address
1570 Crockett Dr
Frisco, TX 75034-7347
Phone (214) 578-8848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104329101 | 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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4501 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amarillo Anesthesia Consultants PA | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1326196288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1265462121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 CROCKETT DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347347",
"telephone_number": "214-578-8848",
"fax_number": "214-872-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 CROCKETT DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347347",
"telephone_number": "214-578-8848",
"fax_number": "214-872-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "BRADLEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "H4501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104329101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.