NPIMap

Individual provider Active NPI

John Thomas McDonnold II, D.O.

  • Emergency Medicine Physician
  • Brenham, TX
National Provider Identifier
1578742649
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J1310 Issued in TX
Practice address
2455 Clay Creek Rd
Brenham, TX 77833-6328
Phone
(979) 251-8210
NPI assigned
Oct 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J1310 TX Primary

Addresses

Primary practice location

2455 Clay Creek Rd
Brenham, TX 77833-6328

Mailing address

2455 Clay Creek Rd
Brenham, TX 77833-6328
Phone (979) 251-8210

Other identifiers 1

IdentifierTypeStateIssuer
8K2682OtherTXMEDICARE INDIVIDUAL PTAN STERLING HEALTHCARE SERVICES ST MARKS MEDICAL CENTER

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 Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Emergency Physicians, PA Emergency Medicine Past Accepting new patients
Brazos Medical Associates Past Accepting new patients
Greater Texas Emergency Consultants, P.a. Emergency Medicine Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Emergency Medicine Past Accepting new patients
John T. McDonnold II DO Facep Emergency Medicine Past Accepting new patients

Organizations & group practices 5

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1578742649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 CLAY CREEK RD",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778336328",
            "telephone_number": "979-251-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 CLAY CREEK RD",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778336328",
            "telephone_number": "979-251-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNOLD",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J1310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN STERLING HEALTHCARE SERVICES ST MARKS MEDICAL CENTER",
            "identifier": "8K2682",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.