Active NPI
Bruce E. Douthit, MD, PA
- Specialist
- Frisco, TX
National Provider Identifier
1679798201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G8826
- Legal business name
- BRUCE E. DOUTHIT, MD, PA
- Practice address
- 4461 Coit Rd Ste 101
Frisco, TX 75035-0522 - Phone
- (972) 335-8455
- Fax
- (972) 335-7560
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Brummett
- Title
- Clinic Coordinator
- Phone
- (972) 335-8455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G8826 | TX | Primary |
Addresses
Primary practice location
4461 Coit Rd Ste 101
Frisco, TX 75035-0522
Mailing address
4461 Coit Rd
Ste 101
Frisco, TX 75035-0521
Phone (972) 335-8455
Other names 1
- OASIS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4461 Coit Rd
Ste 211
Frisco, TX 75035
Phone (214) 297-0008
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Frisco, TX
- NPI 1164474284
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Frisco, TX
- NPI 1104872449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221523200000",
"number": "1679798201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4461 COIT RD",
"address_2": "STE 101",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350521",
"telephone_number": "972-335-8455",
"fax_number": "972-335-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 COIT RD STE 101",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350522",
"telephone_number": "972-335-8455",
"fax_number": "972-335-7560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE E. DOUTHIT, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2008-09-16",
"status": "A",
"authorized_official_last_name": "BRUMMETT",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "CLINIC COORDINATOR",
"authorized_official_telephone_number": "972-335-8455"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "G8826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OASIS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.