Active NPI
Terry V Pursley MD
- Dermatology Physician
- Brownwood, TX
National Provider Identifier
1962601195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E6154
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070002444 | Other | TX | MEDICARE B RR PALMETTO |
Other names 1
- BROWNWOOD DERMATOLOGY CLINIC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Brownwood, TX
- NPI 1962498824
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.