Active NPI
Rebeccah Bradshaw Baucom, M.D.
- Surgery Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R6520
- Practice address
- 3509 22ND St
Lubbock, TX 79410-1307 - Phone
- (806) 799-7928
- Fax
- (806) 788-8560
- NPI assigned
- Apr 10, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R6520 | TX | Primary |
Addresses
Primary practice location
3509 22ND St
Lubbock, TX 79410-1307
Mailing address
3509 22ND St
Lubbock, TX 79410-1307
Phone (806) 799-7928
Other practice location 1
Texas Tech Physicians 3601 4th Street 4th Floor
Lubbock, TX 79430
Phone (806) 743-2373
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebeccah.baucom@direct.myteamcare.com |
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
- General Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3509 22ND St
Lubbock, TX 79410-1307
Phone (806) 799-7928
Hospital & facility affiliations
- Covenant Childrens Hospital
- Covenant Medical Center
- Grace Surgical Hospital
- Nor-Lea Hospital District
- Covenant Health Hobbs Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 38 |
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48953 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Surgery | Current | Accepting new patients |
| Swat Surgical Associates, L.L.P. | Surgery | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Covenant Medical Center | Past | Accepting new patients |
Locations
3601 4th St
Stop 8312
Lubbock, TX 79430
Phone (806) 743-2332
3509 22nd St
Lubbock, TX 79410
Phone (806) 799-7928
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
4101 22nd Pl
Ste 204
Lubbock, TX 79410
4101 22nd Pl
Lubbock, TX 79410
Phone (806) 725-8000
1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374
Interoperability endpoints
- rebeccah.baucom@direct.myteamcare.com
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.
-
- Surgery Physician
- Lubbock, TX
- NPI 1740219724
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Surgery Physician
- Lubbock, TX
- NPI 1508815895
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1225289499
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
-
- General Acute Care Hospital
- Hobbs, NM
- NPI 1215534466
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1194968867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 22ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101307",
"telephone_number": "806-799-7928",
"fax_number": "806-788-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 22ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101307",
"telephone_number": "806-799-7928",
"fax_number": "806-788-8560"
}
],
"practiceLocations": [
{
"address_1": "Texas Tech Physicians 3601 4th Street 4th Floor",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "79430",
"country_code": "US",
"telephone_number": "806-743-2373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUCOM",
"first_name": "REBECCAH",
"middle_name": "BRADSHAW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "R6520",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebeccah.baucom@direct.myteamcare.com",
"affiliation": "N",
"address_1": "Texas Tech Physicians 3601 4th Street 4th Floor",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "79430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.