Active NPI
Paul D. Jantzi, M.D.
- Allergy & Immunology Physician
- Brenham, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- L4007
- Practice address
- 2505 Stone Hollow Dr Ste 100
Brenham, TX 77833-5631 - Phone
- (979) 836-5582
- Fax
- (979) 251-7804
- NPI assigned
- Nov 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L4007 | TX | |
| Allergy & Immunology Physician | 207K00000X | L4007 | TX | Primary |
Addresses
Primary practice location
2505 Stone Hollow Dr Ste 100
Brenham, TX 77833-5631
Mailing address
PO Box 611
Brenham, TX 77834-0611
Phone (979) 836-5582
Other practice location 1
2540 Highway 71 S Ste 100
Columbus, TX 78934-9222
Phone (979) 836-5582
Other practice location 2
917 N Circle Dr
Sealy, TX 77474-3333
Phone (979) 836-5582
Other practice location 3
2 Saint Marks Pl Ste 110
LA Grange, TX 78945-1255
Phone (979) 836-5582
Other practice location 4
1605 Rock Prairie Rd Ste 218
College Station, TX 77845-8358
Phone (979) 485-9287
Other practice location 5
815 Highway 71 W Ste 1150
Bastrop, TX 78602-0319
Phone (979) 836-5582
Other practice location 6
317 E Hempstead St
Giddings, TX 78942-3307
Phone (979) 836-5582
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
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Texas Medical School at Houston, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1605 Rock Prairie Rd
Suite 218
College Station, TX 77845-8358
Phone (979) 485-9287
1720 Von Minden Rd
La Grange, TX 78945-2419
Phone (979) 836-5582
2505 Stone Hollow Dr
Suite 100
Brenham, TX 77833-5631
Phone (979) 836-5582
598 Cactus St
Giddings, TX 78942-1437
Phone (979) 836-5582
815 Hwy 71 W
Suite 1150
Bastrop, TX 78602-0319
Phone (979) 836-5582
917 N Circle Dr
Sealy, TX 77474-3333
Phone (979) 836-5582
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4007 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul D. Jantzi, M.D., P.a. | Specialist | Current | Accepting new patients |
| Utmb Faculty Group Practice | Past | Accepting new patients | |
| Charles Robert Gobert, MD, PLLC | Past | Accepting new patients | |
| Camil I Kreit MD PA | Past | Accepting new patients | |
| Teresa H. Kinsfather, D.O., P.a. | Past | Accepting new patients |
Locations
815 Highway 71 W
Ste 1150
Bastrop, TX 78602
Phone (512) 321-1098
1203 S Austin St
Brenham, TX 77833
2505 Stone Hollow Dr
Ste 100
Brenham, TX 77833
2540 Highway 71 S
Ste 100
Columbus, TX 78934
Phone (979) 732-2376
317 E Hempstead St
Giddings, TX 78942
Phone (979) 212-5115
1720 Von Minden Rd
La Grange, TX 78945
Phone (979) 968-2700
2 Saint Marks Pl
Ste 110
La Grange, TX 78945
Phone (979) 242-2387
917 N Circle Dr
Sealy, TX 77474
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.
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- Specialist
- Brenham, TX
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- Family Medicine Physician
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- NPI 1134348659
-
- Dermatology Physician
- Columbus, TX
- NPI 1174702898
-
- Family Medicine Physician
- Giddings, TX
- NPI 1538410956
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1114090867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 611",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778340611",
"telephone_number": "979-836-5582",
"fax_number": "979-251-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 STONE HOLLOW DR STE 100",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778335631",
"telephone_number": "979-836-5582",
"fax_number": "979-251-7804"
}
],
"practiceLocations": [
{
"address_1": "2540 Highway 71 S Ste 100",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "TX",
"postal_code": "789349222",
"country_code": "US",
"telephone_number": "979-836-5582",
"fax_number": "979-251-7804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "917 N Circle Dr",
"address_purpose": "LOCATION",
"city": "Sealy",
"state": "TX",
"postal_code": "774743333",
"country_code": "US",
"telephone_number": "979-836-5582",
"fax_number": "979-251-7804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Saint Marks Pl Ste 110",
"address_purpose": "LOCATION",
"city": "LA Grange",
"state": "TX",
"postal_code": "789451255",
"country_code": "US",
"telephone_number": "979-836-5582",
"fax_number": "979-251-7804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1605 Rock Prairie Rd Ste 218",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778458358",
"country_code": "US",
"telephone_number": "979-485-9287",
"fax_number": "979-251-7804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 Highway 71 W Ste 1150",
"address_purpose": "LOCATION",
"city": "Bastrop",
"state": "TX",
"postal_code": "786020319",
"country_code": "US",
"telephone_number": "979-836-5582",
"fax_number": "979-251-7804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "317 E Hempstead St",
"address_purpose": "LOCATION",
"city": "Giddings",
"state": "TX",
"postal_code": "789423307",
"country_code": "US",
"telephone_number": "979-836-5582",
"fax_number": "979-251-7804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANTZI",
"first_name": "PAUL",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "L4007",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "L4007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.