Organization Active NPI

Brian C. Buck, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1316196082
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
H4878 Issued in TX
Legal business name
BRIAN C. BUCK, M.D., P.A.
Practice address
4201 Bee Cave Road
Suite C-102
Austin, TX 78746-6493
Phone
(512) 279-2386
Fax
(512) 279-2387
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian C. Buck, M.D.
Title
President
Phone
(512) 279-2386

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X H4878 TX
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X H4878 TX Primary

Addresses

Primary practice location

4201 Bee Cave Road
Suite C-102
Austin, TX 78746-6493

Mailing address

PO Box 160940
Austin, TX 78716-0940
Phone (512) 279-2386

Other identifiers 1

IdentifierTypeStateIssuer
198434601MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1316196082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160940",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787160940",
            "telephone_number": "512-279-2386",
            "fax_number": "512-279-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE ROAD",
            "address_2": "SUITE C-102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466493",
            "telephone_number": "512-279-2386",
            "fax_number": "512-279-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C. BUCK, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-279-2386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "TX",
            "license": "H4878",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H4878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198434601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.