Individual provider Active NPI

Richard D Pham, MD

  • Family Medicine Physician
  • Jasper, TX
National Provider Identifier
1245282938
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2098 Issued in TX
Practice address
227 E Milam St
Jasper, TX 75951-4137
Phone
(409) 489-4300
Fax
(409) 489-4440
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2098 TX Primary

Addresses

Primary practice location

227 E Milam St
Jasper, TX 75951-4137

Mailing address

PO Box 878
Tyler, TX 75710-0878
Phone (716) 389-3279

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
I20070829000066 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 1052325040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Jasper Hospital DistrictGroup PAC ID 1658899653, 3 clinicians

Practice addresses (Care Compare)

2427 Sam Rayburn Pkwy
Brookeland, TX 75931-6408
Phone (409) 489-4220

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Hospital District Family Medicine CurrentSince Mar 25, 2025 Accepting new patients
Dimmit Regional Hospital Current Accepting new patients
Dimmit Regional Hospital CurrentSince Jun 1, 2020 Accepting new patients
Dimmit Regional Hospital CurrentSince Jun 1, 2020 Accepting new patients
C H Wilkinson Physician Network Family Medicine CurrentSince Jul 11, 2016 Accepting new patients
Jasper Hospital District Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jul 11, 2016 Accepting new patients
JFHW Rural Clinic PA PastSince Apr 26, 2013 Accepting new patients

Locations

2427 Sam Rayburn Pkwy
Brookeland, TX 75931
Phone (409) 489-4220

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

504 Hospital Dr
Ste B
Carrizo Springs, TX 78834
Phone (830) 876-9458

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

494 Springhill St
Ste 200
Jasper, TX 75951
Phone (409) 381-5750

492 Springhill St
#A
Jasper, TX 75951

492 Springhill St
Ste A
Jasper, TX 75951
Phone (409) 381-5750

227 E Milam St
Jasper, TX 75951
Phone (409) 489-4300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Primary Care PavilionJasper, TX, CCN 678954 Rural health clinic W-2 Managing Employee Sep 1, 2024
Total Care at the LakeBrookeland, TX, CCN 678959 Rural health clinic W-2 Managing Employee Sep 4, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1245282938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757100878",
            "telephone_number": "716-389-3279",
            "fax_number": "716-639-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E MILAM ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514137",
            "telephone_number": "409-489-4300",
            "fax_number": "409-489-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

Verify at the official NPI Registry.