Brian J Spence

Primary specialty

DentistTaxonomy code 122300000X

License

23853 Issued in TX

Practice address

4011 S Texas Ave
Bryan, TX 77802-4022

Phone

(979) 846-0353

NPI assigned

Aug 6, 2008

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Uda PLLC

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1609233618
  NPD (past)
• Urso Kramr LLP

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1124245840
  NPD (past)

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1659537843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024022",
            "telephone_number": "979-846-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024022",
            "telephone_number": "979-846-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "BRIAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie King South, D.O.
• Mary Katherine Sowell, LMFT
• Damara Spaniol, RBT
• Taylor Sparks, PT, DPT
• Tyler Cooley Spata, MD
• Homa Arbab Spencer, PHARMD
• Kyle Spencer, LMFT
• Scott Edward Spencer, M.D.
• Sports Medicine and Regenerative Orthopedics, PLLC
• Sports, Back & Pain Mangement Clinic

• Dentist in Bryan, TX
• Providers in Bryan, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.