Organization Active NPI

Redd Medical PLLC

  • Family Medicine Physician
  • Jasper, TX
National Provider Identifier
1013472448
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REDD MEDICAL PLLC
Practice address
811 N Main St
Jasper, TX 75951
Phone
(409) 489-8938
Fax
(251) 260-8205
NPI assigned
Feb 11, 2019
Organization subpart
Yes
Parent organization
REDD MEDICAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Rebecca Marie Schneider, MDNPI 1811001423
Title
Owner
Phone
(409) 489-8938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

811 N Main St
Jasper, TX 75951

Mailing address

PO Box 2048
Jasper, TX 75951
Phone (409) 594-0255

Other names 1

  • REDD Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314002318 TX Part B Supplier - Clinic/Group Practice 3274873047 Receives reassigned benefits from 2 practitioners
Practice locations: Jasper, TX; Lufkin, TX; Kirbyville, TX

National Provider Directory

National Provider Directory
Part of
Redd Medical PLLC

Locations

811 N Main St
Jasper, TX 75951
Phone (409) 489-8938

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1013472448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "75951",
            "telephone_number": "409-594-0255",
            "fax_number": "251-260-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N MAIN ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "75951",
            "telephone_number": "409-489-8938",
            "fax_number": "251-260-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDD MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDD MEDICAL PLLC",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-489-8938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDD Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REDD Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.