Jason Bradley Terrell, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

N6065 Issued in TX

Practice address

18104 Painted Horse CV
Austin, TX 78738-4063

Phone

(512) 810-5323

NPI assigned

Aug 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1619160686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18104 PAINTED HORSE CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787384063",
            "telephone_number": "512-810-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18104 PAINTED HORSE CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787384063",
            "telephone_number": "512-810-5323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13508 Lone Rider Trl",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787386422",
            "country_code": "US",
            "telephone_number": "512-810-5323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Red River St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787121845",
            "country_code": "US",
            "telephone_number": "512-810-5323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "JASON",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N6065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan William Terranova, NASM CPT, CES, CNC
• Lauren Wiley Terrazas
• Lisa Terrazas, LPC
• Juan A Terre, M.D
• Hannah Terrell
• Misty Terrell, MED, BCBA
• Emma Terres, LMSW
• Scott Jon Terres, LPC
• David W. Terreson, M.D.
• Terri Anne Russell, MD

• General Practice Physician in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.