Individual provider Active NPI

Jose Rommel Bajar, PT

  • Contractor
  • Nederland, TX
National Provider Identifier
1700975513
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
1103638 Issued in TX
Practice address
1417 South Hwy 69
Nederland, TX 77627
Phone
(409) 724-7868
Fax
(409) 724-7871
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 1103638 TX Primary

Addresses

Primary practice location

1417 South Hwy 69
Nederland, TX 77627

Mailing address

1417 South Hwy 69
Nederland, TX 77627
Phone (409) 724-7868

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

State licenses

LicenseStateTypeSpecialty
1103638TXMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Hematology and Oncology Center, PA Past Accepting new patients
Triangle Therapeutics PastSince Apr 8, 2002 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700975513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 SOUTH HWY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "77627",
            "telephone_number": "409-724-7868",
            "fax_number": "409-724-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 SOUTH HWY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "77627",
            "telephone_number": "409-724-7868",
            "fax_number": "409-724-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAR",
        "first_name": "JOSE",
        "middle_name": "ROMMEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "1103638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.