Individual provider Active NPI

Edward F Verner, M.D.

  • Infectious Disease Physician
  • Waco, TX
National Provider Identifier
1356457162
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
F7262 Issued in TX
Practice address
7030 New Sanger Ave
Ste 202
Waco, TX 76712
Phone
(254) 772-4400
Fax
(254) 399-0247
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X F7262 TX Primary

Addresses

Primary practice location

7030 New Sanger Ave
Ste 202
Waco, TX 76712

Mailing address

7030 New Sanger Rd
Ste 202
Waco, TX 76712-4075
Phone (254) 772-4400

Other identifiers 1

IdentifierTypeStateIssuer
118080402MedicaidTX

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
I20050912001286 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 6305879222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

225 W Waco Dr
Waco, TX 76707-3836
Phone (254) 750-5409

301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200

405 Londonderry Dr
Waco, TX 76712-7922

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Sep 1, 2019 Accepting new patients
Providence Health Alliance CurrentSince Sep 1, 2019 Accepting new patients

Locations

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

7030 Sanger Rd
Ste 202
Woodway, TX 76712
Phone (254) 741-1860

Interoperability endpoints

  • Direct secure messaging: edward.verner.1@9635.direct.athenahealth.com

Organizations & group practices 3

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1356457162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 NEW SANGER RD",
            "address_2": "STE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767124075",
            "telephone_number": "254-772-4400",
            "fax_number": "254-399-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 NEW SANGER AVE",
            "address_2": "STE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-772-4400",
            "fax_number": "254-399-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNER",
        "first_name": "EDWARD",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "F7262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118080402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.