Organization Active NPI

Terry V Pursley MD

  • Dermatology Physician
  • Brownwood, TX
National Provider Identifier
1962601195
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E6154 Issued in TX
Legal business name
TERRY V PURSLEY MD
Doing business as
BROWNWOOD DERMATOLOGY CLINIC
Practice address
2504 Crockett Dr
Brownwood, TX 76801-5900
Phone
(325) 646-2929
Fax
(325) 641-0122
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Terry Vincent Pursley, M.D.NPI 1962498824
Title
Owner
Phone
(325) 646-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X E6154 TX Primary

Addresses

Primary practice location

2504 Crockett Dr
Brownwood, TX 76801-5900

Mailing address

2504 Crockett Dr
Brownwood, TX 76801-5900
Phone (325) 646-2929

Other identifiers 1

IdentifierTypeStateIssuer
070002444OtherTXMEDICARE B RR PALMETTO

Other names 1

  • BROWNWOOD DERMATOLOGY CLINIC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1962601195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 CROCKETT DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015900",
            "telephone_number": "325-646-2929",
            "fax_number": "325-641-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 CROCKETT DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015900",
            "telephone_number": "325-646-2929",
            "fax_number": "325-641-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY V PURSLEY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "PURSLEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-646-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E6154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B RR PALMETTO",
            "identifier": "070002444",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROWNWOOD DERMATOLOGY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.