Active NPI
Brian Scott Payne, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- Q7450
- Practice address
- 602 Indiana Avenue
Division of Pediatric Emergency Medicine
Lubbock, TX 79415 - Phone
- (068) 775-9700
- NPI assigned
- Jul 7, 2010
- Last updated
- Jul 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2013012532 | MO | |
| Pediatrics Physician | 208000000X | Q7450 | TX | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | Q7450 | TX | Primary |
Addresses
Primary practice location
602 Indiana Avenue
Division of Pediatric Emergency Medicine
Lubbock, TX 79415
Mailing address
1465 S Grand Blvd
Division of Pediatric Emergency Medicine
Saint Louis, MO 63104-1003
Phone (314) 577-5360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q7450 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lubbock County Hospital District | Current | Accepting new patients | |
| Lubbock County Hospital District | Past | Accepting new patients |
Locations
11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
Organizations & group practices 2
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.
-
dba UMC EC Physicians
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1508855578
-
dba UMC Radiology
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1063468031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1932411998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 S GRAND BLVD",
"address_2": "DIVISION OF PEDIATRIC EMERGENCY MEDICINE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041003",
"telephone_number": "314-577-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 INDIANA AVENUE",
"address_2": "DIVISION OF PEDIATRIC EMERGENCY MEDICINE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79415",
"telephone_number": "068-775-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "BRIAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-07",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2013012532",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q7450",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TX",
"license": "Q7450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.