NPIMap

Organization Active NPI

Bryan H. Minton, MD, PA

  • Family Medicine Physician
  • Lewisville, TX
National Provider Identifier
1679764286
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L2475 Issued in TX
Legal business name
BRYAN H. MINTON, MD, PA
Practice address
1422 W Main St
Suite 100a
Lewisville, TX 75067-3387
Phone
(972) 221-3924
NPI assigned
Aug 8, 2007
Organization subpart
Yes
Parent organization
HEALTH TEXAS PROVIDER NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Suzan Burton
Title
Office MGR.
Phone
(972) 221-3924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L2475 TX Primary

Addresses

Primary practice location

1422 W Main St
Suite 100a
Lewisville, TX 75067-3387

Mailing address

PO Box 844128
Dallas, TX 75284
Phone (972) 860-8648

Other identifiers 4

IdentifierTypeStateIssuer
152189002MedicaidTX
470855656OtherTXTAX INDENTIFIER NUMBER
009QPOtherTXBCBSTX
DC1194OtherRAILROAD MEDICARE, GROUP

National Provider Directory

National Provider Directory
Tax ID family
BSW Advanced Heart Failure77 organizations share this tax ID, including this one
Part of
BSW Advanced Heart Failure

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1679764286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844128",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75284",
            "telephone_number": "972-860-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 W MAIN ST",
            "address_2": "SUITE 100A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673387",
            "telephone_number": "972-221-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN H. MINTON, MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH TEXAS PROVIDER NETWORK",
        "enumeration_date": "2007-08-08",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "972-221-3924"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152189002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX INDENTIFIER NUMBER",
            "identifier": "470855656",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "009QP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE, GROUP",
            "identifier": "DC1194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.