Active NPI
David Segrest, M.D.
- Family Medicine Physician
- Bryan, TX
National Provider Identifier
1255384582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D6167
- Practice address
- 2801 Franciscan Dr
Bryan, TX 77802-2544 - Phone
- (979) 774-2060
- NPI assigned
- May 18, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D6167 | TX | Primary |
Addresses
Primary practice location
2801 Franciscan Dr
Bryan, TX 77802-2544
Mailing address
2800 S Texas Ave Ste 202
Bryan, TX 77802-5361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133342909 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan a. Friedman, M.D., PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physician Assistant
- Bryan, TX
- NPI 1629127212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1255384582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S TEXAS AVE STE 202",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025361"
},
{
"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": "979-774-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGREST",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D6167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133342909",
"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 Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.