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JACOB HENSON RODELL DO
NPI 1700636909
Family Medicine in Bryan, TX

Active since March 22, 2024PECOS Enrolled
2900 E 29TH ST STE 100, BRYAN, TX 77802(979) 436-0488 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2026, May 28, 2026 (2 updates tracked since 2026).

About Jacob Henson Rodell Do NPPES

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

JACOB HENSON RODELL DO (NPI 1700636909) is an individual family medicine provider in Bryan, Texas, licensed in Texas (W8087) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700636909
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB HENSON RODELLCredential: DO
Location Address2900 E 29TH ST STE 100Bryan, TX 77802-2623
Mailing Address2900 E 29th St Ste 100Bryan, TX 77802-2623
Phone(979) 436-0488
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 22, 2024
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1700636909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · W8087
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2900 E 29TH ST STE 100, Bryan, TX 77802
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Henson Rodell Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395203046
PECOS Enrollment IDI20260813002001
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Rodell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concord Medical Group PLLC
381 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Concord Medical Group Of Texas PLLC
381 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JUSTIN MARKWORDT DO
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 100
BRYAN, TX 77802
Brazos County (979) 776-8440
AMBER VICTORIA CARLILE DO
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 100
BRYAN, TX 77802
Brazos County (979) 776-8440
REESE KENNETH OLIVER MD
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 100
BRYAN, TX 77802
Brazos County (979) 436-0485
HELEN ELIZABETH TRAHAN
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 100
BRYAN, TX 77802
Brazos County (979) 436-0485
NIKKI L JONES MD
Family Medicine
2900 E 29TH ST STE 100
BRYAN, TX 77802
Brazos County (979) 436-0485
GARRETT GOMEZ MD
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 100
BRYAN, TX 77802
Brazos County (979) 776-8440
DR. KARTHIK V MADHIRA DO
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 100
BRYAN, TX 77802
Brazos County (979) 436-0485
KATRINA VELASQUEZ
Psychologist
2900 E 29TH ST STE 100
BRYAN, TX 77802
Brazos County (979) 776-8440

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 Jacob Rodell's NPI number?

The NPI number for Jacob Rodell is 1700636909. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Jacob Rodell located?

Jacob Rodell practices at 2900 E 29th St Ste 100, Bryan, TX 77802. The listed phone number is (979) 436-0488.

What is Jacob Rodell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Rodell enrolled in Medicare?

Yes. Jacob Rodell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Rodell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Rodell reassigns Medicare benefits to 2 organizations: Concord Medical Group PLLC (Lubbock, TX) and Concord Medical Group Of Texas PLLC (Lubbock, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Rodell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Rodell was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.