Individual provider Active NPI

Susan Gilcrease Roberman, M.D.

  • Family Medicine Physician
  • Bryan, TX
National Provider Identifier
1982635348
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H9951 Issued in TX
Practice address
2900 E 29TH St Ste 200
Bryan, TX 77802-2623
Phone
(979) 776-8440
Fax
(877) 601-5854
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H9951 TX
Family Medicine Physician 207Q00000X H9951 TX Primary

Addresses

Primary practice location

2900 E 29TH St Ste 200
Bryan, TX 77802-2623

Mailing address

2900 E 29TH St Ste 100
Bryan, TX 77802-2623
Phone (979) 776-8440

Other identifiers 3

IdentifierTypeStateIssuer
P082124N3MedicaidTX
122145907MedicaidTX
8BR219OtherTXBCBS

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
I20031215000238 TX Practitioner - Family Practice 6800793340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 E 29TH St
Suite 200
Bryan, TX 77802-2623
Phone (979) 776-8440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9951TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center CurrentSince Aug 1, 2008 Accepting new patients
Texas a&M University System Health Science Center Family Medicine CurrentSince Aug 1, 2008 Accepting new patients

Locations

1301 Memorial Dr
Ste 200
Bryan, TX 77802
Phone (409) 776-8440

2900 E 29th St
Ste 200
Bryan, TX 77802
Phone (979) 436-0483

2900 E 29th St
Bryan, TX 77802
Phone (979) 436-0700

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1301 Memorial Dr
Ste 100
Bryan, TX 77802
Phone (979) 862-4465

2900 E 29th St
Ste 100
Bryan, TX 77802
Phone (979) 436-0485

6550 Fannin St
Ste 1115
Houston, TX 77030
Phone (713) 677-8200

1905 Dove Crossing Ln
Ste A
Navasota, TX 77868
Phone (936) 825-0755

3950 N A W Grimes Blvd
Fl 4
Round Rock, TX 78665
Phone (512) 341-4922

Organizations & group practices 2

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.

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1982635348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022623",
            "telephone_number": "979-776-8440",
            "fax_number": "877-601-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST STE 200",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022623",
            "telephone_number": "979-776-8440",
            "fax_number": "877-601-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERMAN",
        "first_name": "SUSAN",
        "middle_name": "GILCREASE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H9951",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P082124N3",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122145907",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BR219",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.