Active NPI
Cross Mountain Inpatient Services PLLC
- Hospitalist Physician
- Fredericksburg, TX
National Provider Identifier
1164976569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- CROSS MOUNTAIN INPATIENT SERVICES PLLC
- Practice address
- 1020 S State Highway 16
Fredericksburg, TX 78624-4471 - Phone
- (469) 401-2386
- NPI assigned
- Aug 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William C Jernberg, MD
- Title
- Officer
- Phone
- (469) 401-2386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1020 S State Highway 16
Fredericksburg, TX 78624-4471
Mailing address
13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (469) 401-2386
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Garland, TX
- NPI 1679530786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471219200000",
"number": "1164976569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401374",
"telephone_number": "469-401-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S STATE HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244471",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSS MOUNTAIN INPATIENT SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-15",
"last_updated": "2016-08-15",
"status": "A",
"authorized_official_last_name": "JERNBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "469-401-2386",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.