Active NPI
Jason Neil Harris, M.D.
- Neurology Physician
- Fort Sam Houston, TX
National Provider Identifier
1457556599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M-10098
- Practice address
- 3551 Roger Brooke Dr
Bamc, Department of Medicine, Neurology Clinic
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-2203
- NPI assigned
- Jun 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M-10098 | ID | Primary |
| Ophthalmology Physician | 207W00000X | M-10098 | ID |
Addresses
Primary practice location
3551 Roger Brooke Dr
Bamc, Department of Medicine, Neurology Clinic
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Bamc, Department of Medicine, Neurology Clinic
Fort Sam Houston, TX 78234-4504
Phone (210) 916-2203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110411000716 | HI | Order and Referring Only - Neurology | 6103000484 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10098 | ID | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1457556599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"address_2": "BAMC, DEPARTMENT OF MEDICINE, NEUROLOGY CLINIC",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"address_2": "BAMC, DEPARTMENT OF MEDICINE, NEUROLOGY CLINIC",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-2203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JASON",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ID",
"license": "M-10098",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ID",
"license": "M-10098",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.