Active NPI
Marcus M Purvis, MD
- Emergency Medicine Physician
- Bryan, TX
National Provider Identifier
1477504132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- F4395
- Practice address
- 2801 Franciscan Dr
Bryan, TX 77802-2544 - Phone
- (979) 776-2568
- NPI assigned
- May 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | F4395 | TX | Primary |
| Emergency Medicine Physician | 207P00000X | 30775 | CO |
Addresses
Primary practice location
2801 Franciscan Dr
Bryan, TX 77802-2544
Mailing address
4213 Warwick LN
Bryan, TX 77802-5659
Phone (719) 671-9162
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138720116 | Medicaid | TX | |
| 138720118 | Other | TX | CSHCN |
| 8V7080 | Other | TX | BCBS |
| 138720117 | Medicaid | TX | |
| 8K9566 | Other | TX | BCBS |
| P00208108 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Plus LLC | Emergency Medicine | Past | Accepting new patients |
| Brenham Family Care, PLLC | Past | Accepting new patients |
Interoperability endpoints
- marcus.purvis.1@29743.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Brenham, TX
- NPI 1982746673
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1235188962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1477504132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4213 WARWICK LN",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025659",
"telephone_number": "719-671-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 FRANCISCAN DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022544",
"telephone_number": "979-776-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURVIS",
"first_name": "MARCUS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "F4395",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "30775",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138720116",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "138720118",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8V7080",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138720117",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8K9566",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00208108",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.