Individual provider Active NPI

Terry M Jones, MD

  • Dermatology Physician
  • Bryan, TX
National Provider Identifier
1821078387
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E2645 Issued in TX
Practice address
1707 Broadmoor Dr
Suite 100
Bryan, TX 77802-5233
Phone
(979) 776-7767
Fax
(979) 774-4986
NPI assigned
Jan 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X E2645 TX Primary

Addresses

Primary practice location

1707 Broadmoor Dr
Suite 100
Bryan, TX 77802-5233

Mailing address

1707 Broadmoor Dr
Suite 100
Bryan, TX 77802-5233
Phone (979) 776-7767

Other identifiers 1

IdentifierTypeStateIssuer
E2645OtherTXLICENSE

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
I20091029000140 TX Practitioner - Dermatology 0749327492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

1707 Broadmoor Dr
Suite 100
Bryan, TX 77802-5219
Phone (979) 731-4933

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions785
Removal or shaving of skin growth1-10
Skin biopsy109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince Jun 15, 2021 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Nov 1, 2017 Accepting new patients

Locations

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

1707 Broadmoor Dr
Ste 100
Bryan, TX 77802
Phone (979) 766-7767

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Organizations & group practices 3

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821078387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 BROADMOOR DR",
            "address_2": "SUITE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025233",
            "telephone_number": "979-776-7767",
            "fax_number": "979-774-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 BROADMOOR DR",
            "address_2": "SUITE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025233",
            "telephone_number": "979-776-7767",
            "fax_number": "979-774-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TERRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E2645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E2645",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.