Individual provider Active NPI

Jonathan Alexander Friedman, M.D.

  • Neurological Surgery Physician
  • Bryan, TX
National Provider Identifier
1003920224
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M1685 Issued in TX
Practice address
3201 University Dr E Ste 425
Bryan, TX 77802-3479
Phone
(979) 207-7400
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X M1685 TX Primary

Addresses

Primary practice location

3201 University Dr E Ste 425
Bryan, TX 77802-3479

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 3

IdentifierTypeStateIssuer
176572902MedicaidTX
P00294339OtherTXMEDICARE RAILROAD
8U5901OtherTXBLUE CROSS PROVIDER NUMBE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfriedman16175@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810001083 TX Practitioner - Neurosurgery 0244138287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1280 Arrington Rd
Suite 200
College Station, TX 77845-8696
Phone (979) 207-6550

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1700 University Dr E
College Station, TX 77840-2661
Phone (979) 691-3300

1700 University Dr E Entrance 16
Care Clinic College Station University Dr
College Station, TX 77840-2661
Phone (979) 207-3636

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-3777

604 Hwy 290 W
Baylor Scott and White Clinic Brenh
Brenham, TX 77833-5432
Phone (979) 337-5400

700 Scott and White Dr
College Station, TX 77845-6441
Phone (979) 207-0100

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

900 Scott and White Dr
College Station, TX 77845-6419
Phone (979) 207-7400

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088
  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Baylor Scott & White Hospital Brenham Hospital, Brenham, TX, CCN 451397

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion225
Laminectomy or laminotomy (partial removal of spine bones)62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M1685TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic CurrentSince Dec 29, 2023 Accepting new patients
Scott & White Clinic Current Accepting new patients
Scott & White Hospital - College Station Past Accepting new patients
Mayo Clinic Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Jonathan a. Friedman, M.D., PLLC Neurological Surgery PastSince Apr 1, 2007 Accepting new patients
St Joseph Physician Associates Neurological Surgery Past Accepting new patients

Locations

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

3201 University Dr E
Ste 425
Bryan, TX 77802
Phone (979) 207-7400

700 Scott and White Dr
College Station, TX 77845
Phone (979) 207-0100

900 Scott and White Dr
Ste 201
College Station, TX 77845
Phone (979) 207-7400

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

Interoperability endpoints

  • Direct secure messaging: jafriedm@yourcarecommunity.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1003920224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 425",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023479",
            "telephone_number": "979-207-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JONATHAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M1685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176572902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00294339",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "8U5901",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfriedman16175@direct.sw.org",
            "affiliation": "N",
            "address_1": "3201 University Dr E Ste 425",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778023479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.