Organization Active NPI

Brush Country Family Medicine PA

  • Family Medicine Physician
  • Pleasanton, TX
National Provider Identifier
1487751657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRUSH COUNTRY FAMILY MEDICINE PA
Practice address
111 N Smith St
Pleasanton, TX 78064-4109
Phone
(830) 569-2118
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lisa Jill Blair, MD
Title
Presidentowner
Phone
(830) 569-2118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

111 N Smith St
Pleasanton, TX 78064-4109

Mailing address

111 N Smith St
Pleasanton, TX 78064-4109
Phone (830) 569-2118

National Provider Directory

National Provider Directory

Locations

111 N Smith St
Pleasanton, TX 78064
Phone (830) 569-2118

220 W Goodwin St
Ste A
Pleasanton, TX 78064
Phone (830) 268-4866

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487751657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N SMITH ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644109",
            "telephone_number": "830-569-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N SMITH ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644109",
            "telephone_number": "830-569-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH COUNTRY FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENTOWNER",
        "authorized_official_telephone_number": "830-569-2118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.