Organization Active NPI

Samuel J Barina MD, PA

  • Internal Medicine Physician
  • Bryan, TX
National Provider Identifier
1881923175
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J3977 Issued in TX
Legal business name
SAMUEL J BARINA MD, PA
Practice address
3201 University Dr E
Ste 345
Bryan, TX 77802-3475
Phone
(979) 776-2715
Fax
(979) 776-9502
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Samuel Barina, MD
Title
President
Phone
(979) 776-2715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J3977 TX Primary

Addresses

Primary practice location

3201 University Dr E
Ste 345
Bryan, TX 77802-3475

Mailing address

3201 University Dr E
Ste 345
Bryan, TX 77802-3475
Phone (979) 776-2715

Other identifiers 1

IdentifierTypeStateIssuer
036114901MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1881923175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "STE 345",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-776-2715",
            "fax_number": "979-776-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "STE 345",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-776-2715",
            "fax_number": "979-776-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL J BARINA MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "BARINA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-776-2715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J3977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114901",
            "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 Jun 23, 2010; 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.