Individual provider Active NPI

Luke Benjamin McBride, M.D.

  • Anesthesiology Physician
  • Decatur, TX
National Provider Identifier
1508182932
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P0914 Issued in TX
Practice address
1001 W Eagle Dr
Decatur, TX 76234-3745
Phone
(940) 683-5287
Fax
(940) 683-4382
NPI assigned
Apr 9, 2010
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X P0914 TX Primary

Addresses

Primary practice location

1001 W Eagle Dr
Decatur, TX 76234-3745

Mailing address

865 Deshong Dr
Paris, TX 75460-9313
Phone (903) 737-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111109000224 TX Practitioner - AnesthesiologyPractitioner - Family PracticePractitioner - Critical Care (Intensivists) 3577736495 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Texas Regional Anesthesia Medical Group PAGroup PAC ID 8325328628, 16 clinicians

Practice addresses (Care Compare)

865 Deshong Dr
Paris, TX 75460-9313
Phone (865) 985-7062

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P0914TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Dec 14, 2011 Accepting new patients
Haskell County Hospital CurrentSince Oct 15, 2012 Accepting new patients
Haskell County Hospital CurrentSince Oct 15, 2012 Accepting new patients
Texas Regional Anesthesia Medical Group, P.a Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Lamb Healthcare Center CurrentSince Oct 15, 2012 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 14, 2011 Accepting new patients
Lamb Healthcare Center CurrentSince Oct 15, 2012 Accepting new patients

Locations

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1508182932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 DESHONG DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609313",
            "telephone_number": "903-737-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W EAGLE DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343745",
            "telephone_number": "940-683-5287",
            "fax_number": "940-683-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "LUKE",
        "middle_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P0914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.