Individual provider Active NPI

James V Stonecipher, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bryan, TX
National Provider Identifier
1497716179
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J0290 Issued in TX
Practice address
3841 Sagebriar Drive
Bryan, TX 77802-6107
Phone
(979) 774-1377
Fax
(979) 774-6147
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X J0290 TX Primary
Specialist 174400000X J0290 TX

Addresses

Primary practice location

3841 Sagebriar Drive
Bryan, TX 77802-6107

Mailing address

PO Box 10797
College Station, TX 77842-0797
Phone (979) 774-1377

Other identifiers 1

IdentifierTypeStateIssuer
134050708MedicaidTX

Other names 1

  • James V Stonecipher Other name

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
I20091211000659 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 2961471123 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0290TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Physicians Organization,Mso-LLC Single Specialty CurrentSince Mar 18, 2024 Accepting new patients
Pain and Spine Consultants of Texas PLLC Single Specialty CurrentSince Feb 9, 2020 Accepting new patients
Brazos Valley Physicians Organization,Mso-LLC Single Specialty CurrentSince Mar 18, 2024 Accepting new patients
College Station Imaging Center Single Specialty Past Accepting new patients

Locations

3841 Sagebriar Dr
Bryan, TX 77802
Phone (979) 216-5529

3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888

3201 University Dr E
Ste 470
Bryan, TX 77802
Phone (979) 731-3906

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1497716179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10797",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778420797",
            "telephone_number": "979-774-1377",
            "fax_number": "979-774-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 SAGEBRIAR DRIVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778026107",
            "telephone_number": "979-774-1377",
            "fax_number": "979-774-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONECIPHER",
        "first_name": "JAMES",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J0290",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J0290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134050708",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "STONECIPHER",
            "middle_name": "V",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.