Individual provider Active NPI

Rebeccah Bradshaw Baucom, M.D.

  • Surgery Physician
  • Lubbock, TX
National Provider Identifier
1194968867
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R6520 Issued in TX
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

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821000412 TX Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 7517269251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
University of Texas Southwestern Medical School at Dallas, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swat Surgical Associates LLPGroup PAC ID 1355371832, 13 clinicians

Practice addresses (Care Compare)

3509 22ND St
Lubbock, TX 79410-1307
Phone (806) 799-7928

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305
  • Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48953TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Surgery CurrentSince Sep 3, 2018 Accepting new patients
Swat Surgical Associates, L.L.P. Surgery CurrentSince Jun 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Sep 3, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.