Brent Reavley Harris, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

F6718 Issued in TX

Practice address

1726 S Beckham Ave
Tyler, TX 75701-4435

Phone

(903) 593-0481

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Pathology Associates of Tyler PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Tyler, TX
  • NPI 1770521403
  NPD
• East Texas Medical Center Healthcare Associates

  • Pathology Specialist/Technologist
  • Tyler, TX
  • NPI 1619917481
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1679580849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 S. BECKHAM AVE.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014435",
            "telephone_number": "903-593-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014435",
            "telephone_number": "903-593-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRENT",
        "middle_name": "REAVLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "F6718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER NUMBER",
            "identifier": "80P182",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "8U0910",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Harrington-Hill
• Stacy Leeann Harrington, LVN
• Trey Harrington, DO
• Jenny Harris-Pittman, M. ED.
• Amy Harris
• Christine M Harris, LPC
• Curnifa Fredrica Harris
• Gilda Harris, PA-C
• Haley Nicole Harris, MS, LPC
• Iana G Harris, PA-C

• Anatomic Pathology & Clinical Pathology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.