Organization Active NPI

Lyle L. Brown MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Nacogdoches, TX
National Provider Identifier
1407098031
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
LYLE L. BROWN MD PA
Practice address
3316 N University Dr Ste C
Nacogdoches, TX 75965-2607
Phone
(936) 559-0800
Fax
(936) 559-0803
NPI assigned
Mar 27, 2009
Last updated
Jan 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Dr. Lyle L Brown, M.D.NPI 1467477729
Title
President
Phone
(936) 559-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

3316 N University Dr Ste C
Nacogdoches, TX 75965-2607

Mailing address

4106 Belle Pointe Dr
Nacogdoches, TX 75965-4879
Phone (903) 816-2400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1407098031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 BELLE POINTE DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759654879",
            "telephone_number": "903-816-2400",
            "fax_number": "936-559-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 N UNIVERSITY DR STE C",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652607",
            "telephone_number": "936-559-0800",
            "fax_number": "936-559-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE L. BROWN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-559-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.