NPIMap

Individual provider Active NPI

Michael D. Neal, M.D.

  • Preferred Provider Organization
  • Mertzon, TX
National Provider Identifier
1972528974
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
H0674 Issued in TX
Practice address
7502 County Road 410
Mertzon, TX 76941
Phone
(325) 835-7062
Fax
(325) 835-2414
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H0674 TX
Preferred Provider Organization 305R00000X H0674 TX Primary

Addresses

Primary practice location

7502 County Road 410
Mertzon, TX 76941

Mailing address

PO Box 442
7502 County Road 410
Mertzon, TX 76941
Phone (325) 835-7062

Other identifiers 3

IdentifierTypeStateIssuer
00B85QOtherTXMEDICARE PART B
092496102MedicaidTX
138760721MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sabine County Hospital District Emergency Medicine Past Accepting new patients
Alliance Hospital, LTD Past Accepting new patients
Odessa Physician Associates, PLLC Emergency Medicine Past Accepting new patients
Tom Green Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Midland Emergency Management PLLC Emergency Medicine Past Accepting new patients
Oasis of West TX Emergency Emergency Medicine Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1972528974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 442",
            "address_2": "7502 COUNTY ROAD 410",
            "city": "MERTZON",
            "state": "TX",
            "postal_code": "76941",
            "telephone_number": "325-835-7062",
            "fax_number": "325-835-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 COUNTY ROAD 410",
            "city": "MERTZON",
            "state": "TX",
            "postal_code": "76941",
            "telephone_number": "325-835-7062",
            "fax_number": "325-835-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H0674",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "H0674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "00B85Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092496102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138760721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mertzon, TX

Sources for this page

Verify at the official NPI Registry.