Texas Endocrinology PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

TEXAS ENDOCRINOLOGY PLLC

Practice address

1721 Birmingham Dr Ste 200
College Station, TX 77845-4081

Phone

(979) 977-7012

Fax

(979) 977-7013

NPI assigned

Apr 12, 2019

Organization subpart

No

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

Authorized official

Name

Dean P Blevins, MDNPI 1992055537

Title

MD

Phone

(979) 977-7012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCBIBD

Practitioners 1

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

• Dean Blevins, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • College Station, TX
  • NPI 1992055537

  Endocrinology, Diabetes & Metabolism, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1083177364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR STE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454081",
            "telephone_number": "817-573-9800",
            "fax_number": "817-573-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR STE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454081",
            "telephone_number": "979-977-7012",
            "fax_number": "979-977-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ENDOCRINOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "979-977-7012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas a&M University - Student Health Services
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• All providers in College Station, TX
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.