Joseph Albert Aldrich III, D.O.
Individual provider Active NPI Emergency Medicine Physician · Fort Benning, GA
NPI 1487866471 · NPPES record last updated Nov 3, 2011
Key facts
- NPI
- 1487866471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 5101017021 (MI)
- Practice address
- 7950 Martin Loop
Mach Department of Emergency Medicine
Fort Benning, GA 31905-5648 - Phone
- (706) 544-3102
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120802000490 | TX | Practitioner - Emergency Medicine | 5597944215 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017021 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current |
Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Brazos Valley ER, LLC | Past | Accepting new patients |
Locations
100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603
12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000
1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911
6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289
12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560
6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000
250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159
9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211
20475 State Highway 46 W
Ste 100
Spring Branch, TX 78070
Phone (830) 252-5200
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101017021 | MI | Yes |
| Emergency Medicine Physician | 207P00000X | 2009030095 | MO |
Addresses
Primary practice location
7950 Martin Loop
Mach Department of Emergency Medicine
Fort Benning, GA 31905-5648
Mailing address
7950 Martin Loop
Mach Department of Emergency Medicine
Fort Benning, GA 31905-5648
Phone (706) 544-3102
Other providers in Fort Benning, GA
- Ach Martin-Benning
- Ach Martin-Benning
- Susan Marie Affleck
- Joseph Bryan Ahlborn
- Paula Andrea Alarcon
- Cody Alford
- Jenny Allen
- Joshua Allen
- Tammy Allen
- David Allred
All providers in Fort Benning, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.