Active NPI
Fab Pulmonary Solutions PLLC
- Pulmonary Disease Physician
- Dallas, TX
National Provider Identifier
1780150755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- FAB PULMONARY SOLUTIONS PLLC
- Practice address
- 3500 Gaston Ave
4TH Floor Jonsson BLDG
Dallas, TX 75246-2017 - Phone
- (214) 957-1067
- Fax
- (214) 614-9184
- NPI assigned
- Oct 17, 2018
- 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
- Dr. Frank Brancaccio, MD
- Title
- President
- Phone
- (214) 957-1067
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
3500 Gaston Ave
4TH Floor Jonsson BLDG
Dallas, TX 75246-2017
Mailing address
5622 McCommas Blvd
Dallas, TX 75206-5636
Phone (214) 300-8599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J8470 | Other | TX | TEXAS MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Dallas, TX
- NPI 1013918234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575936000000",
"number": "1780150755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5622 MCCOMMAS BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752065636",
"telephone_number": "214-300-8599",
"fax_number": "214-614-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"address_2": "4TH FLOOR JONSSON BLDG",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-957-1067",
"fax_number": "214-614-9184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAB PULMONARY SOLUTIONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-17",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A",
"authorized_official_last_name": "BRANCACCIO",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-957-1067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "J8470",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.