NPIMap

Individual provider Active NPI

Jordan Williams, M.D.

  • Family Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1326334871
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4922 Issued in TX
Practice address
952 Gruene Rd Ste 150
New Braunfels, TX 78130
Phone
(830) 626-9911
Fax
(830) 626-9922
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.123068 OH
Family Medicine Physician 207Q00000X ME 119555 FL
Family Medicine Physician 207Q00000X R4922 TX Primary

Addresses

Primary practice location

952 Gruene Rd Ste 150
New Braunfels, TX 78130

Mailing address

301 Main PLZ # 342
New Braunfels, TX 78130-5136
Phone (830) 626-9911

Other practice location 1

221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150-4800
Phone (210) 652-8544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190208002556 TX Practitioner - Family Practice 3476772377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Jay L Gruhlkey MD PAGroup PAC ID 6103997374, 4 clinicians

Practice addresses (Care Compare)

952 Gruene Rd
Suite 150
New Braunfels, TX 78130-3934
Phone (830) 626-9911

Hospital & facility affiliations

  • Christus Homecare Home health agency, New Braunfels, TX, CCN 677544
  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • New Braunfels Regional Rehabilitation Hospital Inpatient rehabilitation facility, New Braunfels, TX, CCN 673049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.123068OHMDFamily Medicine Physician
R4922TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Medical, PA PastSince Oct 24, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1570/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 6

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1326334871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN PLZ # 342",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305136",
            "telephone_number": "830-626-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 GRUENE RD STE 150",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-626-9911",
            "fax_number": "830-626-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 3rd St W Bldg 1040",
            "address_purpose": "LOCATION",
            "city": "Jbsa Randolph",
            "state": "TX",
            "postal_code": "781504800",
            "country_code": "US",
            "telephone_number": "210-652-8544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.123068",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 119555",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.