Active NPI
Michael E Jones MD PA
- Family Medicine Physician
- Bryan, TX
National Provider Identifier
1467595553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MICHAEL E JONES MD PA
- Practice address
- 1121 Briarcrest Dr
Suite 303
Bryan, TX 77802-2505 - Phone
- (979) 774-1500
- Fax
- (979) 774-7160
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Roxie N Rodriguez
- Title
- Office Manager
- Phone
- (979) 774-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1121 Briarcrest Dr
Suite 303
Bryan, TX 77802-2505
Mailing address
1121 Briarcrest Dr
Suite 303
Bryan, TX 77802-2505
Phone (979) 774-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140299208 | Medicaid | TX | |
| 140299236 | Other | TX | MEDICAID TEXAS HEALTHSTEP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0939944 | Dr Michael E Jones MD | Certificate of waiver | Feb 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
1121 Briarcrest Dr
Ste 303
Bryan, TX 77802
Phone (409) 774-1500
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- College Station, TX
- NPI 1245854595
-
- Family Nurse Practitioner
- Madisonville, TX
- NPI 1679751002
-
- Family Medicine Physician
- Bryan, TX
- NPI 1407881881
-
- Nurse Practitioner
- Conroe, TX
- NPI 1205819612
-
- Anesthesiologist Assistant
- Cleveland, OH
- NPI 1528073004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263340800000",
"number": "1467595553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 BRIARCREST DR",
"address_2": "SUITE 303",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022505",
"telephone_number": "979-774-1500",
"fax_number": "979-774-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 BRIARCREST DR",
"address_2": "SUITE 303",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022505",
"telephone_number": "979-774-1500",
"fax_number": "979-774-7160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL E JONES MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2010-01-13",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "ROXIE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "979-774-1500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140299208",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID TEXAS HEALTHSTEP",
"identifier": "140299236",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.