David McClellan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4511 Issued in TX

Practice address

2900 E 29TH St
Bryan, TX 77802-2622

Phone

(979) 776-8440

Fax

(979) 776-6905

NPI assigned

Aug 12, 2006

Last updated

Feb 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Colorado Family MedicineGroup PAC ID 0941282271, 22 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Colorado Family Medicine

  • Primary Care Clinic/Center
  • Greeley, CO
  • NPI 1083642680
  Medicare reassignment Care Compare group NPD
• Family Practice Foundation of the Brazos Valley

  dba Family Medicine Center & Brazos Family Medicine Residency

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1578573531
  NPD (past) Authorized official
• Texas a&M University System Health Science Center

  dba Texas A&M Physicians

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1063699312
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1154333847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022622",
            "telephone_number": "979-776-8440",
            "fax_number": "979-776-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022622",
            "telephone_number": "979-776-8440",
            "fax_number": "979-776-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115214207",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BR214",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Jean Mays, MD
• MBS Chiropractic & Wellness LLC
• Elizabeth West McAbee, RN
• Carolyn Ann McCall, NP-C
• Janine Louise McClain
• Lucile McClellan
• Andrew McCleskey, PTA
• Carly Elizabeth McCord, PH.D.
• Lauren McCorkle
• Keeli McCracken, OTR

• Family Medicine Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.

Verify at the official NPI Registry.