Individual provider Active NPI

Brian Christopher Eunice

  • Licensed Practical Nurse
  • Dallas, TX
National Provider Identifier
1861964546
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
332545 Issued in TX
Practice address
4123 Cedar Springs Rd Apt 2428
Dallas, TX 75219-3551
Phone
(817) 372-9833
NPI assigned
Dec 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 332545 TX Primary

Addresses

Primary practice location

4123 Cedar Springs Rd Apt 2428
Dallas, TX 75219-3551

Mailing address

4123 Cedar Springs Rd Apt 2428
Dallas, TX 75219-3551
Phone (817) 372-9833

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
332545TXMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1861964546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 CEDAR SPRINGS RD APT 2428",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193551",
            "telephone_number": "817-372-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 CEDAR SPRINGS RD APT 2428",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193551",
            "telephone_number": "817-372-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUNICE",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "332545",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2018; 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.