Organization Active NPI

St Joseph Physician Associates

  • Neurological Surgery Physician
  • Bryan, TX
National Provider Identifier
1851405039
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ST JOSEPH PHYSICIAN ASSOCIATES
Practice address
2601 Osler Blvd
Bryan, TX 77802-2516
Phone
(979) 776-5960
Fax
(979) 776-2129
NPI assigned
Aug 18, 2006
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Jonathan Alexander Friedman, M.D.NPI 1003920224
Title
Physician
Phone
(979) 776-8896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Medicine Physician 207Q00000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Neurological Surgery Physician 207T00000X Primary
Obstetrics & Gynecology Physician 207V00000X
Orthopaedic Surgery Physician 207X00000X
Otolaryngology Physician 207Y00000X
Pediatrics Physician 208000000X
Neurology Physician 2084N0400X
Surgery Physician 208600000X
Urology Physician 208800000X

Addresses

Primary practice location

2601 Osler Blvd
Bryan, TX 77802-2516

Mailing address

2601 Osler Blvd
Bryan, TX 77802-2516
Phone (979) 776-5960

Other identifiers 3

IdentifierTypeStateIssuer
180488201MedicaidTX
DE4650OtherRAILROAD MEDICARE
0048NCOtherTXBLUE CROSS TEXAS GROUP #

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

110 Highway 290 W
Brenham, TX 77833
Phone (979) 774-1377

605 Medical Pkwy
Brenham, TX 77833
Phone (979) 836-6067

1201A Briarcrest Dr
Bryan, TX 77802
Phone (979) 776-9400

2703 Osler Blvd
Bryan, TX 77802
Phone (409) 696-2172

2901 E 29th St
Ste 123
Bryan, TX 77802
Phone (979) 774-0866

3201 University Dr E
Ste 435
Bryan, TX 77802
Phone (979) 721-9821

1105 University Dr E
Ste 100
College Station, TX 77840
Phone (979) 268-7500

2803 Earl Rudder Fwy S
Ste 103
College Station, TX 77845
Phone (979) 731-8888

322 Coleman St
Marlin, TX 76661
Phone 2548033561153

1105 Eva St
Ste 100
Montgomery, TX 77356

204 Brosig Ave
Navasota, TX 77868
Phone (936) 825-1616

9409 Highway 6
Navasota, TX 77868
Phone (936) 825-7200

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1851405039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022516",
            "telephone_number": "979-776-5960",
            "fax_number": "979-776-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022516",
            "telephone_number": "979-776-5960",
            "fax_number": "979-776-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH PHYSICIAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "979-776-8896",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180488201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE4650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TEXAS GROUP #",
            "identifier": "0048NC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.