Active NPI
Brian Reynolds
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1467533927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D5175
- Practice address
- 4110 Guadalupe St
Attn: Reimbursement Dept.
Austin, TX 78751-4223 - Phone
- (512) 419-2731
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D5175 | TX | Primary |
Addresses
Primary practice location
4110 Guadalupe St
Attn: Reimbursement Dept.
Austin, TX 78751-4223
Mailing address
4110 Guadalupe St
Attn: Reimbursement Dept.
Austin, TX 78751-4223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467533927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 GUADALUPE ST",
"address_2": "ATTN: REIMBURSEMENT DEPT.",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 GUADALUPE ST",
"address_2": "ATTN: REIMBURSEMENT DEPT.",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514223",
"telephone_number": "512-419-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "D5175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.