Organization Active NPI

Michael E Jones MD PA

  • Family Medicine Physician
  • Bryan, TX
National Provider Identifier
1467595553
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 13, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
140299208MedicaidTX
140299236OtherTXMEDICAID TEXAS HEALTHSTEP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000247 TX Part B Supplier - Clinic/Group Practice 2860534443 Receives reassigned benefits from 5 practitioners
Practice locations: Bryan, TX; College Station, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0939944Dr Michael E Jones MD1121 Briarcrest Drive Suite 303, Bryan, TX 77802Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.