Active NPI
Sjoerd Adams, M.D.
- Anesthesiology Physician
- Bryan, TX
National Provider Identifier
1174634646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G3101
- Practice address
- 1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769 - Phone
- (979) 776-4777
- Fax
- (979) 776-0588
- NPI assigned
- Aug 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G3101 | TX | Primary |
Addresses
Primary practice location
1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769
Mailing address
1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769
Phone (979) 776-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103801003 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G3101 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1174634646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 BRIARCREST DR",
"address_2": "SUITE 14",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022769",
"telephone_number": "979-776-4777",
"fax_number": "979-776-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 BRIARCREST DR",
"address_2": "SUITE 14",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022769",
"telephone_number": "979-776-4777",
"fax_number": "979-776-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "SJOERD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G3101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103801003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.