Organization Active NPI

Mark J Florian MD PA

  • Internal Medicine Physician
  • Bryan, TX
National Provider Identifier
1497944664
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2017 Issued in TX
Legal business name
MARK J FLORIAN MD PA
Practice address
3201 University Dr E
Suite 345
Bryan, TX 77802-3475
Phone
(979) 731-8465
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Mark J Florian
Title
Owner/President
Phone
(979) 731-8465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K2017 TX Primary

Addresses

Primary practice location

3201 University Dr E
Suite 345
Bryan, TX 77802-3475

Mailing address

3201 University Dr E
Suite 345
Bryan, TX 77802-3475

Other identifiers 2

IdentifierTypeStateIssuer
1396768347OtherTYPE 1 INDIVIDUAL NPI
0047QPOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3201 University Dr E
Ste 345
Bryan, TX 77802
Phone (979) 776-2715

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1497944664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "SUITE 345",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "SUITE 345",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-731-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J FLORIAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "FLORIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "979-731-8465",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 INDIVIDUAL NPI",
            "identifier": "1396768347",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0047QP",
            "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 Jan 17, 2008; 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.