BRYAN EDWARD MASSENBURG (M.D.) – Family Medicine Physician, NPI 1639169436

BRYAN EDWARD MASSENBURG (M.D.) is a healthcare provider. based in Denison, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. L0862 (TX). The NPI Number for BRYAN EDWARD MASSENBURG (M.D.) is 1639169436

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN EDWARD MASSENBURG (M.D.)
NPI
1639169436
Phone
(903) 416-7544
Address
3126 W FM 120
Enumeration Date
24 October 2005
Last Update Date
26 January 2018

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
2145920013
Graduation Year
1999 (27 years ago)
PAC ID
2062569429
Group Practice PAC ID
7810237740
Professional Enrollment ID
I20090422000307
Address ID
TX750715508MC6700XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for BRYAN EDWARD MASSENBURG (M.D.)

  • Urgent Care Center, 3126, West FM 120, Denison, Grayson County, Texas, 75020, United States

    DENISON, TX 750201249

    Phone: (903) 416-7544

    Fax: (903) 416-7545

    Type: Location

  • 5012 S US HIGHWAY 75 STE 300

    ATTN BILLING

    DENISON, TX 750204589

    Phone: (903) 416-7544

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090422000307IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes264235$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza5452$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1816$0
81003Automated urinalysis test1615$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1616$0
View full utilization report →

Insurance plans in this area (ZIP 75020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810237740View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Family PracticeLA
Physician AssistantTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeKY
Physician AssistantMA
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for BRYAN EDWARD MASSENBURG (M.D.)?
Save NPI 1639169436 if you need a stable reference for BRYAN EDWARD MASSENBURG (M.D.).
Is BRYAN EDWARD MASSENBURG (M.D.)'s NPI currently valid?
The extract we use shows BRYAN EDWARD MASSENBURG (M.D.) as active.
What field does BRYAN EDWARD MASSENBURG (M.D.) work in?
You can think of BRYAN EDWARD MASSENBURG (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRYAN EDWARD MASSENBURG (M.D.)?
The page summarizes Denison, Texas for BRYAN EDWARD MASSENBURG (M.D.); expand the address list for detail.
Is BRYAN EDWARD MASSENBURG (M.D.) a real provider?
This page reflects official NPPES data for NPI 1639169436. Always confirm identity and privileges with the practice and licensing boards.

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