NPIMap

Individual provider Active NPI

Brian F Humphreys, MD FACS

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Lufkin, TX
National Provider Identifier
1326088469
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
H1496 Issued in TX
Practice address
121 Gaslight Medical Pkwy
Suite 100
Lufkin, TX 75904-3150
Phone
(936) 699-3141
Fax
(936) 699-3145
NPI assigned
Jun 7, 2006
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 21388 ND
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X H1496 TX Primary

Addresses

Primary practice location

121 Gaslight Medical Pkwy
Suite 100
Lufkin, TX 75904-3150

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other identifiers 1

IdentifierTypeStateIssuer
132380007MedicaidTX

Other names 1

  • Dr. Brian F Humphreys Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050324000348 TX Practitioner - Otolaryngology 5799730057 Reassigns benefits to 1 organization
I20260512004153 WA Practitioner - Otolaryngology 5799730057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

121 Gaslight Medical Pkwy
Suite 100
Lufkin, TX 75904-3150
Phone (936) 699-3141

211 S 13TH St
Mount Vernon, WA 98274-4107
Phone (360) 814-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brian F Humphreys MD Facs PA CurrentSince Jan 4, 2005 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

10 Medical Center Blvd
Ste A
Lufkin, TX 75904
Phone (936) 632-4282

121 Gaslight Medical Pkwy
Ste 100
Lufkin, TX 75904
Phone (936) 699-3141

Interoperability endpoints

  • Direct secure messaging: bhumphreys43407@shannonhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIJBD/Endpoint/JJIJBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1326088469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-312-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GASLIGHT MEDICAL PKWY",
            "address_2": "SUITE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043150",
            "telephone_number": "936-699-3141",
            "fax_number": "936-699-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "BRIAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ND",
            "license": "21388",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "H1496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132380007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "HUMPHREYS",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "MD FACS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.