Active NPI
Emergency Service Staffing PA
- Emergency Medicine Physician
- Bryan, TX
National Provider Identifier
1215975396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMERGENCY SERVICE STAFFING PA
- Practice address
- 2801 Franciscan Dr
Bryan, TX 77802-2544 - Phone
- (979) 776-3777
- NPI assigned
- Jun 2, 2006
- 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
- Sam Roberts, MD
- Title
- President
- Phone
- (512) 452-8533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
2801 Franciscan Dr
Bryan, TX 77802-2544
Mailing address
720 W 34TH St
Suite 101
Austin, TX 78705-1240
Phone (512) 452-8533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE8976 | Other | TX | RAILROAD MEDICARE |
| 0022DJ | Other | TX | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Emergency Service Staffing PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1811935810
Locations
720 W 34th St
Ste 101
Austin, TX 78705
Phone (512) 610-0317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215975396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W 34TH ST",
"address_2": "SUITE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051240",
"telephone_number": "512-452-8533",
"fax_number": "512-452-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 FRANCISCAN DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022544",
"telephone_number": "979-776-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY SERVICE STAFFING PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-452-8533",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE8976",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0022DJ",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.