Individual provider Active NPI

Horis T Stedman Jr., M.D.

  • General Practice Physician
  • Marble Falls, TX
National Provider Identifier
1285629220
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
TXJ1574 Issued in TX
Practice address
2300 N Hwy 281
Marble Falls, TX 78654-4324
Phone
(830) 693-3621
Fax
(830) 693-7487
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X TXJ1574 TX Primary
Emergency Medicine Physician 207P00000X J1574 TX

Addresses

Primary practice location

2300 N Hwy 281
Marble Falls, TX 78654-4324

Mailing address

2300 N Hwy 281
Marble Falls, TX 78654-4324
Phone (830) 693-3621

Other identifiers 1

IdentifierTypeStateIssuer
87Z001OtherTXPTAN

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
I20110303000358 TX Practitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 3375688377 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine, Family Practice
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

200 S Geneva St
Breckenridge, TX 76424-4702
Phone (254) 559-2241

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TXJ1574TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Nov 1, 2021 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Dewitt Medical District Emergency Medicine CurrentSince Dec 16, 2013 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 21, 2011 Accepting new patients
Comanche County Medical Center Company CurrentSince Sep 16, 2016 Accepting new patients
Dewitt Medical District CurrentSince Dec 16, 2013 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Nov 1, 2021 Accepting new patients
Comanche County Medical Center Company CurrentSince Sep 16, 2016 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jun 21, 2011 Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients

Locations

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

2300 N US Highway 281
Marble Falls, TX 78654
Phone (830) 693-3621

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 10

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 2

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1285629220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N HWY 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544324",
            "telephone_number": "830-693-3621",
            "fax_number": "830-693-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N HWY 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544324",
            "telephone_number": "830-693-3621",
            "fax_number": "830-693-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEDMAN",
        "first_name": "HORIS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "TXJ1574",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J1574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "87Z001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.