Active NPI
Neal Moreau Spears, MD
- Pediatrics Physician
- College Station, TX
National Provider Identifier
1053352294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L4729
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151020811 | Medicaid | TX | |
| 151020808 | Medicaid | TX | |
| 8CV053 | Other | TX | BCBS |
| 151020807 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4729 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Family Medicine Physician
- Luling, TX
- NPI 1336456227
-
- General Acute Care Hospital
- Smithville, TX
- NPI 1154612638
-
- General Acute Care Hospital
- Smithville, TX
- NPI 1801893417
-
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
-
- Chiropractor
- League City, TX
- NPI 1972750719
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.