Individual provider Active NPI

Brian C. Buck, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1396747473
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
Practice address
4201 Bee Cave Road
Suite C-102
Austin, TX 78746-6493
Phone
(512) 279-2386
Fax
(512) 279-2387
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine Physician 204R00000X H4878 TX
Physical Medicine & Rehabilitation Physician 208100000X H4878 TX Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X H4878 TX

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
134872410MedicaidTX

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 Medicine

State licenses

LicenseStateTypeSpecialty
H4878TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John P. Obermiller, M.D., P.a. Physical Medicine & Rehabilitation Past Accepting new patients
Soe Aung, M.D., P.a. PastSince Jan 25, 2011 Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1396747473",
    "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": {
        "last_name": "BUCK",
        "first_name": "BRIAN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "TX",
            "license": "H4878",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H4878",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "H4878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134872410",
            "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.