Jorge Miguel Barajas, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2931 Harney Path
Fort Sam Houston, TX 78234-7674

Phone

(760) 807-5202

NPI assigned

Nov 29, 2022

Last updated

Jan 12, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1780394999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10248 CRYSTAL VW",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781484637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 HARNEY PATH",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347674",
            "telephone_number": "760-807-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAJAS",
        "first_name": "JORGE",
        "middle_name": "MIGUEL",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jorge.m.barajas.mil@health.mil",
            "affiliation": "N",
            "endpointDescription": "Military Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2931 Harney Path",
            "city": "Fort Sam Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782347674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua James Mettes Balsam, MPAS
• Graham Baluh, M.D.
• Bamc
• Kevin Patrick Banks, M.D.
• Jennifer M Baquera
• Austin Baraki, MD
• Loraine Cristina Baraki, M.D.
• Gary Alan Barber, M.D.
• Nancy Barber, PH.D.
• Krystal Ashley Barbosa, LCSW

• Independent Duty Corpsman in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Independent Duty Corpsman in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.