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NPI Code Detail

MEDICARE: DOUGLAS J. BUCHANAN M.D.

MEDICARE: DOUGLAS J. BUCHANAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician39675CO
2207Q00000XFamily Medicine PhysicianL1278TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043277486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS J. BUCHANAN M.D.
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number : 830-792-5800
Fax Number : 830-896-2625
Provider Business Practice Location Address
First Line : 723 HILL COUNTRY DR STE C
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-6043
Country : US
Telephone Number : 830-792-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 11/11/2025

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