DR. BRENT R. PAULGER


Address: 2202 Ithaca Ave, Lubbock, TX 79410-1332
Phone: 8067971202

DR. BRENT R. PAULGER (NPI# 1093701468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093701468
Entity Type Individual
Full Name DR. BRENT R. PAULGER
Credential M.D.
Practice Address 2202 Ithaca Ave
Lubbock
TX 79410-1332
Practice Telephone 8067971202
Practice Fax Number 8067974854
Mailing Telephone 8067971202
Mailing Fax Number 8067974854
Enumeration Date 2005-09-21
Last Update Date 2020-05-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology J6653 TX Allopathic & Osteopathic Physicians
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
J6653 TX Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
J6653 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX FIRST CARE 121179100 01
TX BCBS TEXAS 8412K0 01
TX HMO BLUE 070014509 01
NM BCBS NEW MEXICO NM004352 01

Office Location

Street Address 2202 ITHACA AVE
City LUBBOCK
State TX
Zip Code 79410-1332

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881179190 Lisa Marie Moyers Nurse Practitioner 2202 Ithaca Ave, Lubbock, TX 79410-1332 2018-10-02
1679704530 Paulger & Wisniewski Dermatology, LLP Dermatology 2202 Ithaca Ave, Lubbock, TX 79410-1332 2009-07-27
1588792741 Keith Wayne Wisniewski Dermatology 2202 Ithaca Ave, Lubbock, TX 79410-1332 2007-03-01
1316010994 Paulger Dermatology and Skin Cancer Center, Pa Dermatology 2202 Ithaca Ave, Lubbock, TX 79410-1332 2006-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548878267 Covenant Medical Center Clinic/Center 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 2020-07-20
1669038626 Hub City Anesthesia Nurse Anesthetist, Certified Registered 3416 22nd Street, Lubbock, TX 79410 2019-05-15
1912447418 Lubbock Surgery Center, LLC Clinic/Center 3416 22nd St, Lubbock, TX 79410 2017-03-02
1871032698 Lezlee Berry Pharmacist 3615 19th Street, Lubbock, TX 79410 2017-02-13
1376914101 Matthew Cotton Nurse Practitioner 2424 Quaker Ave, Lubbock, TX 79410 2015-10-20
1841534864 Frank Nwabugwu Pharmacist 4120 34th Street, Lubbock, TX 79410 2012-11-15
1689954794 Dharmendra Kumar Pediatrics Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 2011-08-19
1518277177 T.r.m. Rao, M.d., P.a. Colon & Rectal Surgery 3809 22nd Street, Suite C, Lubbock, TX 79410 2010-10-18
1700196672 Hanford Consultations P.a. Family Medicine 4000 22nd Place Suite 100, Lubbock, TX 79410 2010-10-13
1336452598 Amanda Collins Specialist 4801 34th Street, Lubbock, TX 79410 2010-07-16
Find all providers in zip 79410

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962928440 Long & Harris Dermatology Pllc Dermatology 6102 82nd St Ste 15, Lubbock, TX 79424-0802 2017-08-16
1649711904 William David Boothe Jr. Dermatology 3601 4th St Stop 6211, Lubbock, TX 79430 2017-03-19
1033572136 Uyen Ngoc Mui Dermatology 3601 4th St Stop 9400, Lubbock, TX 79430-9400 2016-04-05
1548363971 Robert Franklin Bloom Dermatology 3413 20th St, Lubbock, TX 79410 2006-09-07
1285642603 Michael Hood Chamales Dermatology 15010 Slide Dr, Lubbock, TX 79424 2006-08-03
1427087345 Lehman Dermatology Clinic, P.a. Dermatology 3715 21st St, Lubbock, TX 79410-1219 2006-07-02
1639164098 Justin Wayne Clark Dermatology 3601 22nd St, Lubbock Dermatology, Lubbock, TX 79410-1309 2005-09-13
1922463959 Skin Cancer Institute Pllc Dermatology 4709 66th St, Lubbock, TX 79414-4877 2015-12-17
1629488143 Randy Atkins Dermatology 3601 4th St, Ms 9410, Lubbock, TX 79430-0002 2014-05-06
1851658355 Heather Layher Dermatology 3601 4th St, Lubbock, TX 79430-0002 2012-04-20
Find all providers in LUBBOCK

Competitor

Search similar providers

City LUBBOCK
Zip Code 79410

Improve Information

Please comment or provide details below to improve the information on DR. BRENT R. PAULGER.

Dataset Information

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.

Trending Searches