Maged Ramzy Botros, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G7787 Issued in TX

Practice address

215 E Water St
Jasper, TX 75951-4440

Phone

(409) 384-6835

NPI assigned

Jul 7, 2005

Last updated

Jul 16, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jasper Urology Associates

  • Urology Physician
  • Jasper, TX
  • NPI 1659378602
  Authorized official Same address or phone

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1669479598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E WATER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514440",
            "telephone_number": "409-384-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E WATER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514440",
            "telephone_number": "409-384-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "MAGED",
        "middle_name": "RAMZY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "G7787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110637904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "45D0484054",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leola Bellamy
• Better Living Medical Equipment & Services, LTD.
• BFC Healthcare, P.a. (Jasper Imaging and Diagnostics)
• Peter Alexander Bidwell, MD
• Biotec Wellness, LLC
• Kaleb Glenn Brimer, DPT
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Kelli Brown
• Larry D. Brown Sr., M.D.
• Willie Jewel Brown, LCSW, PHD

• Urology Physician in Jasper, TX
• Providers in Jasper, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.