Judson Malcome Severson, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

M3384 Issued in TX

Practice address

900 Scott and White Dr
College Station, TX 77845-6419

Phone

(979) 207-7400

NPI assigned

Jul 2, 2007

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

Other identifiers 6

Other names 1

• Judson M Severson Other name

Electronic endpoints 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Dialysis Brenham LLC Dialysis facility, Brenham, TX, CCN 672601
• Usrc Bryan Dialysis Dialysis facility, Bryan, TX, CCN 672656
• Liberty Dialysis College Station Dialysis facility, College Station, TX, CCN 672615
• Liberty Dialysis Bryan Dialysis facility, Bryan, TX, CCN 672608
• DaVita Rock Prairie Road Dialysis Dialysis facility, College Station, TX, CCN 672504
• Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088
• Baylor Scott & White Hospital Brenham Hospital, Brenham, TX, CCN 451397
• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
• Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
• CHI St. Joseph Health Rehabilitation Hospital, an Inpatient rehabilitation facility, Bryan, TX, CCN 673065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jseverson40608@direct.sw.org

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.

• Scott & White Clinic

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1093779704
  Medicare reassignment Care Compare group NPD
• Scott & White Clinic

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1649820796
  NPD
• Scott & White Clinic

  • Internal Medicine Physician
  • College Station, TX
  • NPI 1922061993
  NPD
• Gulf Coast Nephrology LLP

  • Nephrology Physician
  • Houston, TX
  • NPI 1861416117
  NPD (past)
• Scott & White Hospital - College Station

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1265772362
  NPD (past)
• Scott & White Hospital - Taylor

  • Emergency Medicine Physician
  • Taylor, TX
  • NPI 1659366557
  NPD (past)
• South Texas Medical Clinics, P.a.

  • General Practice Physician
  • East Bernard, TX
  • NPI 1114077427
  NPD (past)
• South Texas Medical Clinics, P.a.

  • General Practice Physician
  • Wharton, TX
  • NPI 1770688905
  NPD (past)

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

• Dialysis Newco LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1578839080

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • College Station, TX
  • NPI 1962466649

  Dialysis facility

  Care Compare affiliation Name & address match
• Liberty Dialysis - Brenham LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brenham, TX
  • NPI 1407039688

  Dialysis facility

  Care Compare affiliation Name & address match
• Liberty Dialysis-Bryan LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1396929998

  Dialysis facility

  Care Compare affiliation Name & address match
• Liberty Dialysis-College Station LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • College Station, TX
  • NPI 1154508398

  Dialysis facility

  Care Compare affiliation Name & address match
• Scott & White Hospital - College Station

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1265772362
  Care Compare affiliation
• Scott & White Hospital Brenham

  • Critical Access Hospital
  • Brenham, TX
  • NPI 1154315307
  Care Compare affiliation
• Scott & White Memorial Hospital

  • General Acute Care Hospital
  • Temple, TX
  • NPI 1477516466
  Care Compare affiliation
• Scott & White Memorial Hospital

  • General Acute Care Hospital
  • Temple, TX
  • NPI 1578502613
  Care Compare affiliation
• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Encompass Health Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Bryan, TX
  • NPI 1932573417

  Inpatient rehabilitation facility

  Care Compare affiliation
• St. Joseph Regional Health Center

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1801093877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SCOTT AND WHITE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456419",
            "telephone_number": "979-207-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "JUDSON",
        "middle_name": "MALCOME",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M3384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00799975",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198296908",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198296904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198296905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS#",
            "identifier": "8DE548",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198296903",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jseverson40608@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 Scott and White Dr",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778456419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUDSON",
            "last_name": "SEVERSON",
            "middle_name": "M",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chris Seo
• Angelo Sermas, MD
• Courtney Marie Serna
• Christina Serrano
• Marc Anthony Serret, M.D.
• Rebecca Shanesmith, M.D.
• Aiyanadar Shanmugam, M.D F.A.C.E, F.A.C.E
• Deepal Shanmugam, FNP
• Ganesh Shanmugam, MD
• Natraj Aiyappan Shanmugam, M.D.

• Nephrology Physician in College Station, TX
• Providers in College Station, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.