NPI Code Detail JSON Logo

1962385187 NPI number — BRIAN MCDONOUGH APRN-CNP

NPI Number: 1962385187
Health Care Provider/Practitioner: BRIAN MCDONOUGH APRN-CNP

Information about “1962385187” NPI (BRIAN MCDONOUGH APRN-CNP) exists in 1962385187 in HTML format HTML  |  1962385187 in plain Text format TXT  |  1962385187 in PDF (Portable Document Format) PDF  |  1962385187 in an XML format XML  formats.

NPI Number : 1962385187 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962385187",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCDONOUGH",
    "FirstName": "BRIAN",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "APRN-CNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "427 ALEX DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COPPELL",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75019-2944",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-922-6910",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "346 MARINE FORCES DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND PRAIRIE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75051-2412",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "202-598-3411",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/26/2025",
    "LastUpdateDate": "07/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "AP119744",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.