MR. JONATHAN REEVES BROUGH M.D. NPI 1447203823

NPI Information

NPI: 1447203823
Provider Name: MR. JONATHAN REEVES BROUGH, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8160 WALNUT HILL LN
SUITE 200
DALLAS, TX
ZIP 75231
Phone: (214) 363-4421
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MR. Jonathan Reeves Brough, M.D. is a specialist in Dallas, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Jonathan Reeves Brough, M.D. NPI is 1447203823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8160 WALNUT HILL LN
SUITE 200
DALLAS, TX
ZIP 75231-339
Phone: (214) 363-4421
Fax: (214) 987-1657

The NPI 1447203823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		H7927	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H7927	OTHER	TEXAS	STATE LICENSE
2	E73513	MEDICARE UPIN	TEXAS
3	00K39Y	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
4	81590Y	OTHER	TEXAS	BLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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