NPIMap

Organization Active NPI

Brotherman and Moninger, LLP

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1871508739
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BROTHERMAN AND MONINGER, LLP
Practice address
10 Medical Pkwy # 3
Suite 102
Dallas, TX 75234-7840
Phone
(972) 241-2564
Fax
(972) 484-3528
NPI assigned
Jul 29, 2006
Last updated
Nov 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Dr. George A. Moninger, MDNPI 1316924699
Title
Partnership
Phone
(972) 241-2564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

10 Medical Pkwy # 3
Suite 102
Dallas, TX 75234-7840

Mailing address

10 Medical Pkwy # 3
Suite 102
Dallas, TX 75234-7840
Phone (972) 241-2564

Other identifiers 1

IdentifierTypeStateIssuer
150018301MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1871508739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY # 3",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347840",
            "telephone_number": "972-241-2564",
            "fax_number": "972-484-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY # 3",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347840",
            "telephone_number": "972-241-2564",
            "fax_number": "972-484-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERMAN AND MONINGER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "MONINGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNERSHIP",
        "authorized_official_telephone_number": "972-241-2564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150018301",
            "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 Nov 15, 2016; 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.