NPIMap

Individual provider Active NPI

Brian Paul Williams, MD

  • Pulmonary Disease Physician
  • Lubbock, TX
National Provider Identifier
1912028622
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
P1607 Issued in TX
Practice address
3621 22ND St
Suite 400
Lubbock, TX 79410-1301
Phone
(806) 791-8484
Fax
(806) 791-8499
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X P1607 TX Primary

Addresses

Primary practice location

3621 22ND St
Suite 400
Lubbock, TX 79410-1301

Mailing address

3621 22ND St
Suite 400
Lubbock, TX 79410-1301
Phone (806) 791-8484

Other identifiers 1

IdentifierTypeStateIssuer
TXB155180OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000192 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2062504111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Texas Medical School at Houston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

1910 Quaker Ave
Suite 101
Lubbock, TX 79407-2433
Phone (806) 725-4440

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

9812 Slide Rd
Lubbock, TX 79424-5781
Phone (806) 725-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Nov 1, 2013 Accepting new patients
Covenant Medical Group CurrentSince Nov 1, 2013 Accepting new patients
Covenant Medical Center Past Accepting new patients

Locations

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1912028622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 22ND ST",
            "address_2": "SUITE 400",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101301",
            "telephone_number": "806-791-8484",
            "fax_number": "806-791-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 22ND ST",
            "address_2": "SUITE 400",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101301",
            "telephone_number": "806-791-8484",
            "fax_number": "806-791-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "P1607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB155180",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.