Mark Brian Buckner, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

J1898 Issued in TX

Practice address

913 Cottonwood Dr
Sherman, TX 75090-2831

Phone

(903) 868-9565

Fax

(903) 893-8916

NPI assigned

Aug 1, 2006

Last updated

Mar 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mark Buckner MD PA

  dba One Medical, Inc

  • Emergency Care Clinic/Center
  • Sherman, TX
  • NPI 1497038913
  Authorized official Same address or phone
• Trans Pecos Emergency Physicians

  • Emergency Medicine Physician
  • Odessa, TX
  • NPI 1558316364
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1396752879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 KLAS RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750925959",
            "telephone_number": "903-813-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 COTTONWOOD DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902831",
            "telephone_number": "903-868-9565",
            "fax_number": "903-893-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "MARK",
        "middle_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J1898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123463510",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123463511",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W0344",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123463507",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123463508",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752684562",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W0739",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123463509",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley M. Brumm, M.D.
• Teresa Joyce Bryan-Pettit, LCSW
• Janice Fay Bryant, RN
• Mavis Anne Bryant, PHD
• Charles G Buckingham, MD
• Ferdinand Buendia Sr., LMT, CMAT, BCTMB
• Susan Burkhalter, PHARMD.
• Ronda Burks, LVN
• Burlingame Surgical Center, PA (North Travis Ambulatory Surgical Center)
• Robert Geroge Burlingame, MD

• Emergency Medicine Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.