Rebeccah Bradshaw Baucom (NPI# 1194968867, PAC ID# 7517269251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1194968867 |
| PAC ID by PECOS | 7517269251 |
| Professional Enrollment ID | I20180821000412 |
| Full Name | Rebeccah Bradshaw Baucom |
| Organization Legal Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| Address |
4102 24th St Suite 507 Lubbock TX 79410-1805 |
| Phone Number | 8067437700 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2009 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 4385549674 |
| Number of Group Practice Members | 265 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450686 | UNIVERSITY MEDICAL CENTER |
| 450040 | COVENANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3601 4th St, Lubbock, TX 79430-9410 | 8067433150 | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| 4102 24th St, Suite 507, Lubbock, TX 79410-1805 | 8067437700 | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| Organization Legal Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| Physicians | 308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Radford | Family Medicine | Texas Tech University Health Sciences Center Lubbock | 1003 Flint Ave, Lubbock, TX 79409-9803 |
| Esther R Robbins | Family Medicine | Texas Tech University Health Sciences Center Lubbock | 2602 Ave Q, Lubbock, TX 79411-2444 |
| Anthony Raymond Fuller | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana, Lubbock, TX 79415-3364 |
| Miguel Christian Najera | Physician Assistant | Texas Tech University Health Sciences Center Lubbock | 4000 24th St, Lubbock, TX 79410-1894 |
| Brendan J Mackay | Hand Surgery | Texas Tech University Health Sciences Center Lubbock | 808 Joliet Ave, Unit 210, Lubbock, TX 79415-1158 |
| Brian J Pomeroy | Pediatric Medicine | Texas Tech University Health Sciences Center Lubbock | 6630 Quaker Ave, Lubbock, TX 79413-5900 |
| Vernon Williams | General Surgery | Texas Tech University Health Sciences Center Lubbock | 3502 9th St, Suite 130, Lubbock, TX 79415-3367 |
| Leonardo R Dominguez | Ophthalmology | Texas Tech University Health Sciences Center Lubbock | 4004 82nd St, Suite 200, Lubbock, TX 79423-1900 |
| Safaa S Labib | Pathology | Texas Tech University Health Sciences Center Lubbock | 3601 4th St, 1a115, Lubbock, TX 79430-8115 |
| Honey Mae B Doctolero | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Street Address |
4102 24TH ST SUITE 507 |
| City | LUBBOCK |
| State | TX |
| Zip | 79410-1805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaiser R Tarafdar | Internal Medicine | Covenant Medical Group | 4102 24th St, Lubbock, TX 79410-1806 |
| Bennett E Henderson | Obstetrics/gynecology | Covenant Medical Group | 4102 24th St, Lubbock, TX 79410-1806 |
| Joseph K Killeen | Obstetrics/gynecology | Covenant Medical Group | 4102 24th St, Lubbock, TX 79410-1806 |
| Bill D Atkinson | Obstetrics/gynecology | Covenant Medical Group | 4102 24th St, Suite 103, Lubbock, TX 79410-1800 |
| Deepak Rameshchandra Bharadia | General Surgery | Texas Tech University Health Sciences Center Lubbock | 4102 24th St, Suite 507, Lubbock, TX 79410-1805 |
| Dennis E Duriex | Infectious Disease | Covenant Medical Group | 4102 24th St, Lubbock, TX 79410-1806 |
| Melinda G Schalow | Hand Surgery | Covenant Medical Group | 4102 24th St, Lubbock, TX 79410-1806 |
| Jodie L Burriss | Nurse Practitioner | Covenant Medical Group | 4102 24th St, Lubbock, TX 79410-1806 |
| Vivian V Cox | Nurse Practitioner | Covenant Medical Group | 4102 24th St, Lubbock, TX 79410-1806 |
| Amanda D Moore | Nurse Practitioner | Texas Tech University Health Sciences Center Lubbock | 4102 24th St, Suite 507, Lubbock, TX 79410-1805 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Allison P Vaughn | Nurse Practitioner | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Amelia Jay | Nurse Practitioner | Covenant Medical Group | 2102 Oxford B, Lubbock, TX 79410 |
| Clinton G Wolboldt | Family Practice | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Darla K Walker | Nurse Practitioner | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Larry A Warmoth | Nephrology | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Melissa Mae Wotring-norman | Hospitalist | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Paul S Singh | Obstetrics/gynecology | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Lakhu J Rohra | Internal Medicine | 3802 21st St, Suite C, Lubbock, TX 79410-1011 | |
| Find all physicians in zip 79410 | |||
| City | LUBBOCK |
| Zip Code | 79410 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LUBBOCK + GENERAL SURGERY |
Please comment or provide details below to improve the information on Rebeccah Bradshaw Baucom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.