Active NPI
Brian Timothy Carlin, M.D.
- Family Medicine Physician
- Pollok, TX
National Provider Identifier
1871674093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E5354
- Practice address
- 6844 U.S. Hwy 69 North
Lufkin State School
Pollok, TX 75969 - Phone
- (936) 853-8249
- Fax
- (936) 853-8220
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E5354 | TX | Primary |
Addresses
Primary practice location
6844 U.S. Hwy 69 North
Lufkin State School
Pollok, TX 75969
Mailing address
808 Hylane Street
Lufkin, TX 75904-5608
Phone (939) 853-8249
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871674093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 HYLANE STREET",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045608",
"telephone_number": "939-853-8249",
"fax_number": "939-853-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6844 U.S. HWY 69 NORTH",
"address_2": "LUFKIN STATE SCHOOL",
"city": "POLLOK",
"state": "TX",
"postal_code": "75969",
"telephone_number": "936-853-8249",
"fax_number": "936-853-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLIN",
"first_name": "BRIAN",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E5354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pollok, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.