Individual provider Active NPI

Scott Edward Spencer, M.D.

  • Pulmonary Disease Physician
  • Bryan, TX
National Provider Identifier
1104864388
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
L1758 Issued in TX
Practice address
2700 E 29TH St
260
Bryan, TX 77802-2587
Phone
(979) 774-0012
Fax
(979) 774-4636
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X L1758 TX Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X L1758 TX

Addresses

Primary practice location

2700 E 29TH St
260
Bryan, TX 77802-2587

Mailing address

2700 E 29TH St Ste 260
Bryan, TX 77802-2587
Phone (979) 774-0012

Other practice location 1

2700 E 29th St Ste 105
Bryan, TX 77802-2507
Phone (979) 774-0012

Other practice location 2

1602 Rock Prairie Rd Ste 3000
College Station, TX 77845-5989
Phone (979) 774-0012

Other identifiers 2

IdentifierTypeStateIssuer
143734501MedicaidTX
290014262OtherTXRAILROAD MEDICARE

Other names 1

  • Dr. Scott E Spencer Other name

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
I20060606000156 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 0143231217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Regional Health CenterGroup PAC ID 5294727921, 141 clinicians

Practice addresses (Care Compare)

2700 E 29TH St
Suite 260
Bryan, TX 77802-2587
Phone (979) 690-4816

Hospital & facility affiliations

  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Grimes St Joseph Health Center Hospital, Navasota, TX, CCN 451322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Regional Health Center CurrentSince Apr 5, 2021 Accepting new patients
St. Joseph Regional Health Center Pulmonary Disease CurrentSince Apr 5, 2021 Accepting new patients
College Station Hospital LP Past Accepting new patients

Locations

2700 E 29th St
Ste 260
Bryan, TX 77802
Phone (979) 690-4816

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

2700 E 29th St
Ste 310
Bryan, TX 77802
Phone (979) 774-0012

2700 E 29th St
Ste 105
Bryan, TX 77802
Phone (409) 776-5631

Interoperability endpoints

  • Direct secure messaging: sspencer458504@direct.stlukeshealth.org
  • Direct secure messaging: scott.spencer@sjrhc.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1104864388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 260",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022587",
            "telephone_number": "979-774-0012",
            "fax_number": "979-774-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST",
            "address_2": "260",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022587",
            "telephone_number": "979-774-0012",
            "fax_number": "979-774-4636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 E 29th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022507",
            "country_code": "US",
            "telephone_number": "979-774-0012",
            "fax_number": "979-774-4636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 Rock Prairie Rd Ste 3000",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778455989",
            "country_code": "US",
            "telephone_number": "979-774-0012",
            "fax_number": "979-774-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L1758",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L1758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143734501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290014262",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "SPENCER",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.