Provider Demographics
NPI:1649229790
Name:FEAGINS, BRIAN ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:ARTHUR
Last Name:FEAGINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:STE 1205
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-692-8262
Mailing Address - Fax:214-696-4190
Practice Address - Street 1:10501 N. CENTRAL EXPRESSWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2200
Practice Address - Country:US
Practice Address - Phone:214-360-1535
Practice Address - Fax:214-360-1534
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5440208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80407XOtherBCBS
TXP00194243OtherMEDICARE RR
TX80407XOtherBCBS
TX487245YNECMedicare PIN
TXF58503Medicare UPIN
TX487245YNEDMedicare PIN