Organization Active NPI

Norseman Medical, PA

Doing business as Lake Jackson Urgent Care

  • Urgent Care Clinic/Center
  • Lake Jackson, TX
National Provider Identifier
1407266869
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
J7953 Issued in TX
Legal business name
NORSEMAN MEDICAL, PA
Doing business as
Lake Jackson Urgent Care
Practice address
201 That Way St
Lake Jackson, TX 77566-5211
Phone
(979) 285-2100
Fax
(979) 297-0200
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Brian John Feaver, MD
Title
Owner
Phone
(979) 285-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X J7953 TX Primary

Addresses

Primary practice location

201 That Way St
Lake Jackson, TX 77566-5211

Mailing address

201 That Way St
Lake Jackson, TX 77566-5211
Phone (979) 285-2100

Other names 1

  • LAKE JACKSON URGENT CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1407266869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 THAT WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665211",
            "telephone_number": "979-285-2100",
            "fax_number": "979-297-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 THAT WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665211",
            "telephone_number": "979-285-2100",
            "fax_number": "979-297-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORSEMAN MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "FEAVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-285-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "J7953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE JACKSON URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.