Wess James Blackwell (NPI# 1780679662, PAC ID# 7719875657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780679662 |
| PAC ID by PECOS | 7719875657 |
| Professional Enrollment ID | I20070716000210 |
| Full Name | Wess James Blackwell |
| Organization Legal Name | MCBROOM CLINIC PA |
| Address |
185 Decker Dr Giddings TX 78942-1451 |
| Phone Number | 9795427400 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 5890893119 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670004 | ST MARKS MEDICAL CENTER |
| 450143 | SETON SMITHVILLE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 185 Decker Dr, Giddings, TX 78942-1451 | 9795427400 | MCBROOM CLINIC PA |
| 1253 N Vonminden, La Grange, TX 78945 | 9799688493 | MCBROOM CLINIC PA |
| Organization Legal Name | MCBROOM CLINIC PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kinuyo L Henderson | Family Medicine | Mcbroom Clinic Pa | 843 E Industry, Giddings, TX 78942 |
| Amanda Gail Cernosek | Nurse Practitioner | Mcbroom Clinic Pa | 598 Cactus St, Giddings, TX 78942-1437 |
| Wildon Mellinger Rouse Iii | Physician Assistant | Mcbroom Clinic Pa | 230 W N Main St, Flatonia, TX 78941 |
| Jennifer J Emmel | Physician Assistant | Mcbroom Clinic Pa | 230 W N Main St, Flatonia, TX 78941 |
| William Michael Mcbroom | Family Medicine | Mcbroom Clinic Pa | 185 Decker Dr, Giddings, TX 78942-1451 |
| Aylene A Martinez | Nurse Practitioner | Mcbroom Clinic Pa | 230 W N Main St, Flatonia, TX 78941 |
| Street Address |
185 DECKER DR |
| City | GIDDINGS |
| State | TX |
| Zip | 78942-1451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick Johnson | Family Medicine | Tejas Health Care | 185 Decker Dr, Giddings, TX 78942-1451 |
| William Michael Mcbroom | Family Medicine | Mcbroom Clinic Pa | 185 Decker Dr, Giddings, TX 78942-1451 |
| Christopher Chee | Psychiatry | Tejas Health Care | 185 Decker Dr, Giddings, TX 78942-1451 |
| Robert M Katz | Family Medicine | Tejas Health Care | 185 Decker Dr, Giddings, TX 78942-1451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kinuyo L Henderson | Family Medicine | Mcbroom Clinic Pa | 843 E Industry, Giddings, TX 78942 |
| Lakeisha Yvette Brown | Clinical Social Worker | Deer Oaks Geriatric Services P C | 1400 N Main St, Giddings, TX 78942-1360 |
| Amanda Gail Cernosek | Nurse Practitioner | Mcbroom Clinic Pa | 598 Cactus St, Giddings, TX 78942-1437 |
| James K Stewart | Chiropractic | 533 E Independence St, Giddings, TX 78942-2017 | |
| Laura Mae Birnbaum | Family Medicine | 219 A E Railroad, Giddings, TX 78942-2623 | |
| Jeffrey W Cowen | Physical Therapy | Jones and Cowen, Inc. | 283 E Railroad Ave, Giddings, TX 78942-2639 |
| Mark A Jones | Physical Therapy | Jones and Cowen, Inc. | 283 E Railroad Ave, Giddings, TX 78942-2639 |
| Paul Jurica Iii | Physical Therapy | Jones and Cowen, Inc. | 283 E Railroad Ave, Giddings, TX 78942-2639 |
| Jessica Lee Edwards | Physician Assistant | Star Urgent Care, Pllc | 2454 E Austin St, Giddings, TX 78942-3636 |
| Thomas H Ayres | Optometry | 2480 E Austin St, Giddings, TX 78942-3636 | |
| Find all physicians in zip 78942 | |||
| City | GIDDINGS |
| Zip Code | 78942 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GIDDINGS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wess James Blackwell.
| 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.