Individual provider Active NPI

Sarah Katheryn Severson, D.O.

  • Family Medicine Physician
  • Bryan, TX
National Provider Identifier
1114185451
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8461 Issued in TX
Practice address
748 N Earl Rudder Fwy
Bryan, TX 77802-2914
Phone
(979) 207-2900
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8461 TX Primary

Addresses

Primary practice location

748 N Earl Rudder Fwy
Bryan, TX 77802-2914

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other names 1

  • Sarah K Severson Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sseverson40607@direct.sw.org Direct

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
I20080904000082 TX Practitioner - Family Practice 6608942321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1280 Arrington Rd
Suite 200
College Station, TX 77845-8696
Phone (979) 207-6550

15195 FM 2154 Rd
College Station, TX 77845-6808
Phone (979) 207-6700

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1700 University Dr E
College Station, TX 77840-2661
Phone (979) 691-3300

1700 University Dr E Entrance 16
Care Clinic College Station University Dr
College Station, TX 77840-2661
Phone (979) 207-3636

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

748 N Earl Rudder Fwy
Bryan Booneville Clinic
Bryan, TX 77802-2914
Phone (979) 207-2900

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

8264 Hwy 6 Loop
Navasota, TX 77868-3292
Phone (979) 207-6100

Hospital & facility affiliations

  • Accentcare Home Health of College Station Home health agency, College Station, TX, CCN 679189
  • Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088
  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Family Medicine CurrentSince Jan 20, 2014 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Jan 20, 2014 Accepting new patients
Scott & White Clinic Family Medicine Current Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients

Locations

748 N Earl Rudder Fwy
Bryan, TX 77802
Phone (979) 207-2900

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: sseverson40607@direct.sw.org

Organizations & group practices 6

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 4

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1114185451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 N EARL RUDDER FWY",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022914",
            "telephone_number": "979-207-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "SARAH",
        "middle_name": "KATHERYN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sseverson40607@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "748 N Earl Rudder Fwy",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778022914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SEVERSON",
            "middle_name": "K",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.