Provider Demographics
NPI:1194722660
Name:SENGER, BRIAN PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:PAUL
Last Name:SENGER
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 1:1011 MATLOCK
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063
Mailing Address - Country:US
Mailing Address - Phone:817-225-6888
Mailing Address - Fax:817-377-6570
Practice Address - Street 1:1011 MATLOCK
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063
Practice Address - Country:US
Practice Address - Phone:817-225-6888
Practice Address - Fax:817-377-6570
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0378207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3046803002OtherCIGNA POS
4168505OtherBLUELINK
85275YOtherBCBS
2152044OtherAETNA
737810OtherHUMANA GOLD
TX1213381-03Medicaid
16167-0009OtherPACIFICARE
3046803003OtherCIGNA HMO
340951OtherONE HEALTH
737810OtherHUMANA GOLD
3046803003OtherCIGNA HMO