NPIMap

Individual provider Active NPI

John Eric Buck, M.D.

  • Emergency Medicine Physician
  • Conroe, TX
National Provider Identifier
1053383604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K0428 Issued in TX
Practice address
13265 Meadow Creek LN
Conroe, TX 77302-3484
Phone
(936) 441-0674
NPI assigned
Feb 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K0428 TX Primary

Addresses

Primary practice location

13265 Meadow Creek LN
Conroe, TX 77302-3484

Mailing address

13265 Meadow Creek LN
Conroe, TX 77302-3484
Phone (936) 441-0674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0428TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emp Idaho Nampa, LLC PastSince Sep 1, 2017 Accepting new patients
Emerus Physician Group Id LLC Emergency Medicine PastSince Sep 27, 2017 Accepting new patients
MH Emerus Tomball LLC PastSince Jul 1, 2017 Accepting new patients
Tomball Express Medical Center, LLC PastSince Feb 3, 2014 Accepting new patients
Brazos Emergency Physicians, PA Emergency Medicine Past Accepting new patients
SCL Health Westminster, LLC PastSince Nov 24, 2015 Accepting new patients
Lake Jackson Imaging Center Past Accepting new patients
Neptune Emergency Services, P.a. Emergency Medicine Past Accepting new patients
Emerus Physician Group, LLC Emergency Medicine PastSince Nov 24, 2015 Accepting new patients
Ebd Bemc Rockwall LLC PastSince Mar 3, 2014 Accepting new patients

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053383604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13265 MEADOW CREEK LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773023484",
            "telephone_number": "936-441-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13265 MEADOW CREEK LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773023484",
            "telephone_number": "936-441-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K0428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.