Individual provider Active NPI

Andrew G Whitmire, MD

  • Diagnostic Radiology Physician
  • Bryan, TX
National Provider Identifier
1760444384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E9015 Issued in TX
Practice address
2722 Osler Blvd
Bryan, TX 77802-2517
Phone
(979) 776-8291
Fax
(979) 774-7871
NPI assigned
Apr 6, 2006
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
Diagnostic Radiology Physician 2085R0202X E9015 TX Primary

Addresses

Primary practice location

2722 Osler Blvd
Bryan, TX 77802-2517

Mailing address

2722 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-8291

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
I20050705000930 TX Practitioner - Diagnostic Radiology 7214973890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Radiology AssociatesGroup PAC ID 4880598143, 10 clinicians

Practice addresses (Care Compare)

1101 Woodson Dr
Caldwell, TX 77836-1052
Phone (979) 567-2217

210 S Judson St
Navasota, TX 77868-3704
Phone (936) 825-6585

2700 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-8291

2722 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-8291

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-5931

3131 University E Dr
Bryan, TX 77802-3473
Phone (979) 731-3138

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9015TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Radiology Associates Diagnostic Radiology CurrentSince Jan 1, 1978 Accepting new patients
Bryan Radiology Associates Diagnostic Radiology PastSince Jun 16, 2024 Accepting new patients

Locations

2700 Osler Blvd
Bryan, TX 77802

2722 Osler Blvd
Bryan, TX 77802
Phone (409) 776-8291

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

Interoperability endpoints

  • Direct secure messaging: awhitm01@yourcarecommunity.org

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760444384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022517",
            "telephone_number": "979-776-8291",
            "fax_number": "979-774-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022517",
            "telephone_number": "979-776-8291",
            "fax_number": "979-774-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMIRE",
        "first_name": "ANDREW",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E9015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.