NPIMap

Organization Active NPI

Brian F Humphreys MD Facs PA

Doing business as Drian F Humphreys MD Facs PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Lufkin, TX
National Provider Identifier
1407038193
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
H1496 Issued in TX
Legal business name
BRIAN F HUMPHREYS MD FACS PA
Doing business as
Drian F Humphreys MD Facs PA
Practice address
121 Gaslight Medical Pkwy
Suite 100
Lufkin, TX 75904-3150
Phone
(936) 699-3141
Fax
(936) 699-3145
NPI assigned
Dec 4, 2007
Organization subpart
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

Authorized official

Name
Dr. Brian F Humphreys, MDNPI 1326088469
Title
President
Phone
(936) 699-3141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X H1496 TX Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • DRIAN F HUMPHREYS MD FACS PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050324000336 TX Part B Supplier - Clinic/Group Practice 9739135591 Receives reassigned benefits from 4 practitioners
Practice locations: Lufkin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1407038193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "BRIAN F HUMPHREYS MD FACS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-699-3141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "H1496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRIAN F HUMPHREYS MD FACS PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.