Bryan Edward Massenburg, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L0862 Issued in TX

Practice address

3126 W FM 120
Denison, TX 75020-1249

Phone

(903) 416-7544

Fax

(903) 416-7545

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Texas Tech University Health Science Center School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Primary Health Physicians, PLLC

  • Urgent Care Clinic/Center
  • Denton, TX
  • NPI 1770048704
  Medicare reassignment Care Compare group NPD
• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1740233592
  Medicare reassignment NPD
• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1912419250
  NPD
• Unified Women'S Healthcare of Texas PLLC

  • Obstetrics & Gynecology Physician
  • Addison, TX
  • NPI 1952703373
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1639169436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 W FM 120",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201249",
            "telephone_number": "903-416-7544",
            "fax_number": "903-416-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENBURG",
        "first_name": "BRYAN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102612204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark D. Young, M.D., PA
• Larry A Marklin, DC
• Winston Schuyler Marshall, M.D.
• Danielle Marie Martin, R.R.A.
• Hannah Mae Martin
• Tracy Matcham, PHD, LPC
• Crystal Amber Maynard, LPC
• Atlanta Marie Eeelizabeth Mayton
• Dana McAlester
• Stephen A. McAnaney, DDS

• Family Medicine Physician in Denison, TX
• Providers in Denison, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.

Verify at the official NPI Registry.