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ST JOSEPH PHYSICIAN ASSOCIATES NPI 1851405039


NPI Information

NPI: 1851405039
Provider Name: ST JOSEPH PHYSICIAN ASSOCIATES
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
2601 OSLER BLVD
BRYAN, TX
ZIP 77802
Phone: (979) 776-5960
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ST JOSEPH PHYSICIAN ASSOCIATES is a neurological surgery in Bryan, TX. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. ST JOSEPH PHYSICIAN ASSOCIATES NPI is 1851405039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2601 OSLER BLVD
BRYAN, TX
ZIP 77802-516
Phone: (979) 776-5960
Fax: (979) 776-2129

The provider's authorized official is Jonathan Alexander Friedman .
The authorized official title is Physician and has the following contact phone number (979) 776-8896.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 1/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyNo
2207V00000XObstetrics & GynecologyNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207X00000XOrthopaedic SurgeryNo
5207Q00000XFamily MedicineNo
6208000000XPediatricsNo
7208600000XSurgeryNo
8363L00000XNurse PractitionerNo
9363A00000XPhysician AssistantNo
102084N0400XPsychiatry & NeurologyNeurologyNo
11207Y00000XOtolaryngologyNo
12207T00000XNeurological SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1180488201MEDICAIDTEXAS
200801ZMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE GROUP NUMBER
30048NCOTHERTEXASBLUE CROSS TEXAS GROUP #
4DE4650OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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