Individual provider Active NPI

Neal Moreau Spears, MD

  • Pediatrics Physician
  • College Station, TX
National Provider Identifier
1053352294
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L4729 Issued in TX
Practice address
4401 Highway 6 S
College Station, TX 77845-4428
Phone
(979) 690-4480
Fax
(979) 690-4481
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L4729 TX Primary

Addresses

Primary practice location

4401 Highway 6 S
College Station, TX 77845-4428

Mailing address

4401 Highway 6 S
College Station, TX 77845-4428
Phone (979) 690-4480

Other practice location 1

4421 Highway 6 S
College Station, TX 77845-6171
Phone (979) 690-4480

Other identifiers 4

IdentifierTypeStateIssuer
151020811MedicaidTX
151020808MedicaidTX
8CV053OtherTXBCBS
151020807MedicaidTX

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
I20031211000449 TX Practitioner - Pediatric Medicine 2264338037 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4729TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smithville Hospital Authority Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients
Ascension Seton Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: neal.spears@sjrhc.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1053352294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 HIGHWAY 6 S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454428",
            "telephone_number": "979-690-4480",
            "fax_number": "979-690-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HIGHWAY 6 S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454428",
            "telephone_number": "979-690-4480",
            "fax_number": "979-690-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4421 Highway 6 S",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778456171",
            "country_code": "US",
            "telephone_number": "979-690-4480",
            "fax_number": "979-690-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "NEAL",
        "middle_name": "MOREAU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151020811",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151020808",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CV053",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151020807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.