DR. BRENT REAVLEY HARRIS (NPI# 1679580849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679580849 |
| Entity Type | Individual |
| Full Name | DR. BRENT REAVLEY HARRIS |
| Credential | M.D. |
| Practice Address |
1726 S Beckham Ave Tyler TX 75701-4435 |
| Mailing Address |
1726 S. Beckham Ave. Tyler TX 75701-4435 |
| Practice Telephone | 9035930481 |
| Mailing Telephone | 9035930481 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
F6718 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBSTX PROVIDER NUMBER | 80P182 | 01 |
| TX | BLUE CROSS BLUE SHIELD TX | 8U0910 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972961357 | Brent C Harris | Counselor | 4010 Sumit Wood Dr Nw, Kennesaw, GA 30152-4155 | 2016-02-01 |
| 1508027467 | Brent Arthur Harris | Family Medicine | 714 Cedar St, Carrollton, GA 30117-2415 | 2008-06-23 |
| 1841344934 | Brent Lee Harris | Dentist | 61121 Southgate Rd, Cambridge, OH 43725-8533 | 2007-01-23 |
| 1194378919 | Brent Harris | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2019-07-21 |
| 1780169276 | Brent Austin Harris | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2018-10-01 |
| 1477055465 | Brent Warren Harris | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2018-03-06 |
| 1225060205 | Brent T. Harris | Pathology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2006-07-07 |
| 1487630497 | Brent Harris | General Practice | 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 | 2005-12-21 |
| Street Address |
1726 S BECKHAM AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508819541 | Steven Ray Sanchez | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-05-19 |
| 1649427824 | Pathology Associates of Tyler Pa | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4465 | 2008-08-19 |
| 1205918893 | Cpat | Clinical Medical Laboratory | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-10-20 |
| 1588778609 | Foy Glenn Forehand II | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-08-18 |
| 1164536207 | Robert Brian Wells | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-08-18 |
| 1942213582 | Scott M. Lloyd | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-08-14 |
| 1770521403 | Pathology Associates of Tyler Pa | Clinical Medical Laboratory | 1726 S Beckham Ave, Tyler, TX 75701-4465 | 2006-06-03 |
| 1841243706 | Andrew D. Kulaga | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-05-19 |
| 1699729483 | Lorenz Martin Schmiege IIi | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700141033 | Malcolm Reid Hammett | Pathology | 7001 Gleneagles Dr, Tyler, TX 75703-5757 | 2012-07-12 |
| 1841232964 | Virgilio V Gonzalez | Pathology | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2006-06-12 |
| 1508819541 | Steven Ray Sanchez | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-05-19 |
| 1033343611 | Nathan Daniel Liles | Pathology | 800 E. Dawson, Trinity Mother Frances Hospital, Tyler, TX 75701 | 2009-05-11 |
| 1649427824 | Pathology Associates of Tyler Pa | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4465 | 2008-08-19 |
| 1942417787 | Christopher Vinh Nguyen | Pathology | 800 E. Dawson, Trinity Mother Frances Hospital, Tyler, TX 75701-2036 | 2007-05-17 |
| 1588778609 | Foy Glenn Forehand II | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-08-18 |
| 1164536207 | Robert Brian Wells | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-08-18 |
| 1942213582 | Scott M. Lloyd | Pathology | 1726 S Beckham Ave, Tyler, TX 75701-4435 | 2006-08-14 |
| 1578504007 | William Grant Davis | Pathology | 800 E. Dawson, Trinity Mother Frances Hospital, Tyler, TX 75701 | 2006-06-08 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.