Individual provider Active NPI

Stephen Alexander Coffman, M.D.

  • Emergency Medicine Physician
  • Humble, TX
National Provider Identifier
1285980235
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q2985 Issued in TX
Practice address
5324 Atascocita Rd
Humble, TX 77346-2970
Phone
(832) 644-3400
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X Q2985 TX Primary

Addresses

Primary practice location

5324 Atascocita Rd
Humble, TX 77346-2970

Mailing address

1237 Deer Ridge Dr
League City, TX 77573-5258
Phone (281) 229-0150

Other practice location 1

6431 Fannin St
JJL 430
Houston, TX 77030-1501
Phone (713) 500-7882

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
I20150821014306 TX Practitioner - Emergency Medicine 1557676384 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q2985TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oleander Emergency Medicine Associates PA Emergency Medicine CurrentSince Mar 17, 2018 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Singleton Associates PA Past Accepting new patients
Round Table Physicians Group PLLC PastSince Oct 6, 2019 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

3302 Palmer Hwy
Texas City, TX 77590
Phone (409) 641-2700

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1285980235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 DEER RIDGE DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735258",
            "telephone_number": "281-229-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 ATASCOCITA RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462970",
            "telephone_number": "832-644-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_2": "JJL 430",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "STEPHEN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q2985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.