Active NPI
Robert Stevens, M.D.
- Nephrology Physician
- Jourdanton, TX
National Provider Identifier
1528035185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- D0742
- Practice address
- 1603 Highway 97 E
Jourdanton, TX 78026-1618 - Phone
- (830) 769-4125
- NPI assigned
- Mar 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | D0742 | TX | Primary |
Addresses
Primary practice location
1603 Highway 97 E
Jourdanton, TX 78026-1618
Mailing address
16620 N US Highway 281
Suite 300
San Antonio, TX 78232-2327
Phone (210) 614-1231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120671603 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0742 | TX | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1528035185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16620 N US HIGHWAY 281",
"address_2": "SUITE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782322327",
"telephone_number": "210-614-1231",
"fax_number": "210-616-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 HIGHWAY 97 E",
"city": "JOURDANTON",
"state": "TX",
"postal_code": "780261618",
"telephone_number": "830-769-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "D0742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120671603",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jourdanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.