Lyle L. Brown, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

E5017 Issued in TX

Practice address

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

Phone

(936) 559-0800

Fax

(936) 559-0803

NPI assigned

Jul 13, 2006

Last updated

Dec 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Lyle L. Brown MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Nacogdoches, TX
  • NPI 1407098031
  Authorized official Same address or phone
• Cardiovascular Specialty Associates of North Texas, P.a.

  dba Csant

  • Vascular Surgery Physician
  • Rockwall, TX
  • NPI 1780851915
  NPD (past)
• Cardiovascularspecialty Associates of North Texas, PA

  dba Csant

  • Cardiovascular Disease Physician
  • Irving, TX
  • NPI 1194736314

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)
• Hillcrest Healthcare Services Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sherman, TX
  • NPI 1164463576
  NPD (past)
• Liesel E.a. Leedy MD PA

  • Anesthesiology Physician
  • Nacogdoches, TX
  • NPI 1043490188
  NPD (past)
• Texoma Cardiovascular Surgeons LLP

  • Surgery Physician
  • Sherman, TX
  • NPI 1639107659
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1467477729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "BROWN",
        "first_name": "LYLE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "E5017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A9266",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116097007",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BZ666",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75260358175090D019",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00708949",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116097006",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00185417",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Brown Family Health Center Inc
• Ashley Ann Brown
• Binta Yaisa Brown, LPC
• Shelby Brown, MA, LPC
• Sarah Elizabeth Bullard, RD LD
• Tara Christine Bunch, FNP-C
• Burke Center
• Kassey Burney

• 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 Dec 3, 2018; 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.