Active NPI
Brian Thomas Spore, DO
- Family Medicine Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K5703
- Practice address
- 3804 S Medford
Lufkin, TX 75901 - Phone
- (936) 634-2231
- NPI assigned
- Sep 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K5703 | TX | Primary |
Addresses
Primary practice location
3804 S Medford
Lufkin, TX 75901
Mailing address
3804 S Medford
Lufkin, TX 75901
Phone (936) 634-2231
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5703 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | Accepting new patients | |
| TH Healthcare, LTD | Past | Accepting new patients | |
| East Texas Medical Center Healthcare Associates | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- Hospitalist Physician
- Austin, TX
- NPI 1366735169
-
dba Texas Trauma and Emergency Care
- Emergency Medicine Physician
- Tyler, TX
- NPI 1326082892
-
dba Nacogdoches Medical Center
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NCHD Memorial Hospital
- Rural Acute Care Hospital
- Nacogdoches, TX
- NPI 1801831748
-
dba Woodland Heights Medical Center
- General Acute Care Hospital
- Lufkin, TX
- NPI 1487607792
-
dba Sabine County Hospital
- Critical Access Hospital
- Hemphill, TX
- NPI 1932379856
-
dba Nacogdoches Medical Center
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619077708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 S MEDFORD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "75901",
"telephone_number": "936-634-2231",
"fax_number": "936-634-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 S MEDFORD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "75901",
"telephone_number": "936-634-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPORE",
"first_name": "BRIAN",
"middle_name": "THOMAS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K5703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.