Active NPI
Sadrick Terrell
- Driver
- Spring, TX
National Provider Identifier
1093281305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 11037567
- Practice address
- 23107 Birnam Wood Blvd
Spring, TX 77373-6807 - Phone
- (281) 687-0787
- NPI assigned
- Oct 15, 2018
- Last updated
- Oct 15, 2018
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 11037567 | TX | Primary |
Addresses
Primary practice location
23107 Birnam Wood Blvd
Spring, TX 77373-6807
Mailing address
23107 Birnam Wood Blvd
Spring, TX 77373-6807
Phone (281) 687-0787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 803098266 | Other | TX | CHARTER NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11037567 | TX | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S&T Transportation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Spring, TX
- NPI 1083173157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1093281305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23107 BIRNAM WOOD BLVD",
"city": "SPRING",
"state": "TX",
"postal_code": "773736807",
"telephone_number": "281-687-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23107 BIRNAM WOOD BLVD",
"city": "SPRING",
"state": "TX",
"postal_code": "773736807",
"telephone_number": "281-687-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "SADRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TX",
"license": "11037567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHARTER NUMBER",
"identifier": "803098266",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
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- Elizabeth Teoh, O.D.
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- Terrascon Healthcare Corporation (Kleinwood Pharmacy)
- Terrascon Healthcare Corporation (Kleinwood Pharmacy)
- Samantha Takeyla Terry, L.V.N
- Tessla Diagnostics LLC
- Megha Tewari, M.D.
- Texans Toxicology Laboratory, LLC
- Texas Build a Block LLC (A Peppertree Home Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.