Brian Pfeiffer MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K9150 Issued in TX

Legal business name

BRIAN PFEIFFER MD PA

Practice address

800 E Dawson St
Tyler, TX 75701-2036

Phone

(903) 312-4004

Fax

(888) 242-8720

NPI assigned

Jul 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brian Douglas Pfeiffer, M.D.NPI 1548234271

Title

Owner

Phone

(903) 316-7977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Brian Douglas Pfeiffer, MD

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1548234271
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1861834947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130309",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130309",
            "telephone_number": "903-312-4004",
            "fax_number": "888-242-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-312-4004",
            "fax_number": "888-242-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN PFEIFFER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-316-7977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breckenridge Village (Breckenridge Village of Tyler)
• Brent T Alford MD PA
• Lesle Jo Brewer, CST
• Norma Brewer
• Tonieh Brewer
• Suzanne Brians, MS
• Brick Street Dental, PLLC
• David A Brickey, DO
• Brickstreet Long Term Care, LLC
• Bridge Therapeutic Services PLLC

• Internal Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.

Verify at the official NPI Registry.