Texas a&M University

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

AT5667 Issued in TX

Legal business name

TEXAS A&M UNIVERSITY

Practice address

12 John David Crow Blvd
College Station, TX 77843

Phone

(979) 845-3121

NPI assigned

Aug 18, 2015

Organization subpart

No

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

Authorized official

Name

Phil Hedrick, ATC, LAT

Title

Assistant a.D. Athletic Training

Phone

(979) 862-2930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Scott Kee, ATC, PT, DPT

  • Orthopedic Chiropractor
  • College Station, TX
  • NPI 1841303104
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1588030241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30017",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778423017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JOHN DAVID CROW BLVD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77843",
            "telephone_number": "979-845-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS A&M UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "ASSISTANT A.D. ATHLETIC TRAINING",
        "authorized_official_telephone_number": "979-862-2930",
        "authorized_official_credential": "ATC, LAT"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "TX",
            "license": "AT5667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING",
            "identifier": "AT5667",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Temple Vamc
• Nancy Jeanne Tewell, RN
• Texas a&M University
• Texas a&M University
• Texas a&M University
• Texas a&M University - Student Health Services
• Texas a&M University EMS
• Texas a&M University System Health University Health Services
• Texas Cardiac Arrhythmia PLLC
• Texas Cardiovascular Consultants, PA

• Sports Medicine (Preventive Medicine) Physician in College Station, TX
• Providers in College Station, TX by specialty
• Sports Medicine (Preventive Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.