Individual provider Active NPI

Barry Lynn Veazey, M.D.

  • Orthopaedic Surgery Physician
  • College Station, TX
National Provider Identifier
1629137401
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H4765 Issued in TX
Practice address
2803 Earl Rudder Fwy S Ste 103
College Station, TX 77845-6099
Phone
(979) 731-8888
Fax
(979) 731-8848
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H4765 TX Primary

Addresses

Primary practice location

2803 Earl Rudder Fwy S Ste 103
College Station, TX 77845-6099

Mailing address

2803 Earl Rudder Fwy S Ste 103
College Station, TX 77845-6099
Phone (979) 731-8888

Other identifiers 3

IdentifierTypeStateIssuer
P00410983OtherTXRAILROAD MEDICARE
130362006MedicaidTX
8U5903OtherTXBLUE CROSS CLUE SHIELD

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
I20070709000489 TX Practitioner - Orthopedic Surgery 2668491200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H4765TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Physician Associates Orthopaedic Surgery Past Accepting new patients
Jonathan a. Friedman, M.D., PLLC Past Accepting new patients

Organizations & group practices 2

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1629137401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 EARL RUDDER FWY S STE 103",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456099",
            "telephone_number": "979-731-8888",
            "fax_number": "979-731-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 EARL RUDDER FWY S STE 103",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456099",
            "telephone_number": "979-731-8888",
            "fax_number": "979-731-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAZEY",
        "first_name": "BARRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H4765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00410983",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130362006",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLUE SHIELD",
            "identifier": "8U5903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.