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ELIZABETH POLSTON
NPI 1255896650
Pediatrics - Developmental - Behavioral Pediatrics in Jbsa Ft Sam Houston, TX

Active since February 10, 2019PECOS Enrolled
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(210) 916-7500 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, Sep 11, 2025, Jan 5, 2021 and 2 more (5 updates tracked since 2019).

About Elizabeth Polston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH POLSTON (NPI 1255896650) is an individual developmental - behavioral pediatrics provider in Jbsa Ft Sam Houston, Texas, licensed in Nebraska (33049) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255896650
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameELIZABETH POLSTON
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Phone(210) 916-7500
Sole ProprietorNo
Enumeration DateFebruary 10, 2019
Last NPPES UpdateJune 18, 20265 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1255896650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in NE · 33049
Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Polston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK ALAN BARNHARDT D.O.
Pediatrics
3551 ROGER BROOKE DR, DEPARTMENT OF PEDIATRICS/ADOLESCENT MEDICINE
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3160
DR. SCOTT JARED BENTLEY D.O.
Pediatrics (Pediatric Cardiology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-4129
TASLIM ALLIBHAI DAWOOD M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3551 ROGER BROOKE DR, NEONATOLOGY
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-7078
MRS. CHRISTINE DONNA JOHNSON ANP BC
Nurse Practitioner (Primary Care)
3551 ROGER BROOKE DR, DEPARTMENT OF PEDIATRICS/ADOLESCENT MEDICINE
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3160
DR. JONATHAN BOY MD
Student in an Organized Health Care Education/Training Program
3551 ROGER BROOKE DR, MCHE/ME
FORT SAM HOUSTON, TX 78234
Bexar County (423) 557-5399
DR. SAMUEL BRYAN MONTGOMERY M.D.
Student in an Organized Health Care Education/Training Program
3551 ROGER BROOKE DR, MCHE-QD(CREDS)
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-2460
MISS STEPHANIE RAE NIEDZIELSKI OTR/L
Occupational Therapist
3551 ROGER BROOKE DR, MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234
Bexar County (210) 808-2237
DR. ANA ELIZABETH MARKELZ MD
Internal Medicine (Infectious Disease)
3551 ROGER BROOKE DR, MCHE-QD, BLDG 3600
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-5554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Polston's NPI number?

The NPI number for Elizabeth Polston is 1255896650. It was assigned to this individual provider in the NPPES registry on February 10, 2019.

Where is Elizabeth Polston located?

Elizabeth Polston practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 916-7500.

What is Elizabeth Polston's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Elizabeth Polston enrolled in Medicare?

Yes. Elizabeth Polston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Polston was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.