Individual provider Active NPI

Hurb A Hosea, DPM

  • Podiatrist
  • Bryan, TX
National Provider Identifier
1942348438
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1159 Issued in TX
Practice address
2801 E 29TH
Suite 119
Bryan, TX 77802
Phone
(979) 731-8310
Fax
(979) 731-8706
NPI assigned
Feb 5, 2007
Last updated
Jun 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1159 TX Primary

Addresses

Primary practice location

2801 E 29TH
Suite 119
Bryan, TX 77802

Mailing address

2801 E 29TH
Suite 119
Bryan, TX 77802
Phone (979) 731-8310

Other identifiers 2

IdentifierTypeStateIssuer
23011OtherTXSCOTT & WHITE
F000682C4MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000484 TX Practitioner - Podiatry 2668505348 Practice locations: Bryan, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 E
29TH Suite 119
Bryan, TX 77802-2619

2801 E 29TH St
Bryan, TX 77802-2619
Phone (979) 731-8310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue58
Removal of nail tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1159TXMDProsthetist

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1942348438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E 29TH",
            "address_2": "SUITE 119",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-731-8310",
            "fax_number": "979-731-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E 29TH",
            "address_2": "SUITE 119",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-731-8310",
            "fax_number": "979-731-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSEA",
        "first_name": "HURB",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "23011",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F000682C4",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.