Active NPI
Brian L Seyler, DO
- Family Medicine Physician
- Casa Grande, AZ
National Provider Identifier
1295780351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4096
- Practice address
- 1856 E Florence Blvd
Casa Grande, AZ 85222-5303 - Phone
- (520) 836-2514
- Fax
- (520) 836-9326
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2111 | WV | |
| Family Medicine Physician | 207Q00000X | 4096 | AZ | Primary |
Addresses
Primary practice location
1856 E Florence Blvd
Casa Grande, AZ 85222-5303
Mailing address
1856 E Florence Blvd
Casa Grande, AZ 85222-5303
Phone (520) 836-2514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2561302 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2111 | WV | MD | Mental Health Counselor |
| 4096 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1295780351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1856 E FLORENCE BLVD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852225303",
"telephone_number": "520-836-2514",
"fax_number": "520-836-9326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1856 E FLORENCE BLVD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852225303",
"telephone_number": "520-836-2514",
"fax_number": "520-836-9326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYLER",
"first_name": "BRIAN",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "2111",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "4096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2561302",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.