Active NPI
Mark J Florian MD PA
- Internal Medicine Physician
- Bryan, TX
National Provider Identifier
1497944664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K2017
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396768347 | Other | TYPE 1 INDIVIDUAL NPI | |
| 0047QP | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.