Active NPI
Samuel Hills Harrison, M.D.
- Urology Physician
- Bryan, TX
National Provider Identifier
1720161821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- H8112
- Practice address
- 3201 University Dr E
Suite 370
Bryan, TX 77802-3475 - Phone
- (979) 731-8660
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | H8112 | TX | Primary |
Addresses
Primary practice location
3201 University Dr E
Suite 370
Bryan, TX 77802-3475
Mailing address
3201 University Dr E
Suite 370
Bryan, TX 77802-3475
Phone (979) 731-8660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8413M0 | Other | TX | BLUE CROSS PROVIDER NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H8112 | TX | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1720161821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E",
"address_2": "SUITE 370",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023475",
"telephone_number": "979-731-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E",
"address_2": "SUITE 370",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023475",
"telephone_number": "979-731-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "SAMUEL",
"middle_name": "HILLS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "H8112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "8413M0",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.