Jason D Bothwell, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

60142326 Issued in WA

Practice address

Brooke Army Medical Center
3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-7820

Phone

(808) 286-0208

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA, TX2 enrollments

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 2

Specialty

Emergency Medicine

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital Atascosa Hospital, Jourdanton, TX, CCN 450165

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Legacy Urgent Care, PA

  • Urgent Care Clinic/Center
  • Frisco, TX
  • NPI 1568622272
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Olympia Emergency Services, PLLC

  • Emergency Medicine Physician
  • Olympia, WA
  • NPI 1346267796
  Medicare reassignment NPD
• Northwest Emergency Physicians LLC

  • Emergency Medicine Physician
  • Arlington, WA
  • NPI 1235172370
  Medicare reassignment
• Frisco Emergency Medicine Associates, PA

  • Emergency Care Clinic/Center
  • Frisco, TX
  • NPI 1467612176

  Emergency Medicine

  NPD (past)
• Premier Physicians-II, P.a.

  • Urgent Care Clinic/Center
  • Woodway, TX
  • NPI 1801204656
  NPD (past)

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

• Methodist Healthcare System of San Antonio, LTD., LLP

  • General Acute Care Hospital
  • Jourdanton, TX
  • NPI 1376071530
  Care Compare affiliation

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1760548754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 FITZSIMMONS DR",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984311000",
            "telephone_number": "808-286-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DR",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347820",
            "telephone_number": "808-286-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTHWELL",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "60142326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Robert Baltensperger, M.D.
• Joel Lynn Barclay, LCSW-S
• Brian C Barthol, PHARM.D.
• Halward Blegen IV, DO
• Richard Paul Boyd, DO, PHARMD
• Josh Henryk Bukowski, MD
• Ryan V Burkhart, D.O.
• Kelvin Nathan Vanard Bush, MD
• Thomas Sullivan Caldwell, MD

• Emergency Medicine Physician in Jbsa Fort Sam Houston, TX
• Providers in Jbsa Fort Sam Houston, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.