Lyle L. Brown MD PA

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

Organization subpart

No

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.

Title

President

Phone

(936) 559-0800

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liesel E.a. Leedy, M.D.

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1043286883
  NPD (past)
• Richard Sean Omsberg, PA

  • Physician Assistant
  • Austin, TX
  • NPI 1366569402
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202036401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0013SH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO8153",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Thomas Lowery, OD
• Melisa Annette Lummus, CCC/SLP
• Luquette Chiropractic PC
• David Allen Luquette, DC
• Shannon Marie Lutz, PT
• Lyle Thorstenson MD
• Lyle Thorstenson MD
• Lyle Thorstenson, MD
• Patricia Self Lynch, MA, LPC
• Malcolm Kent Lyon, DO

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• 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.