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ZACHARY ANDERSEN
NPI 1760123954
General Practice in Jbsa Ft Sam Houston, TX

Active since April 05, 2022PECOS Enrolled
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(815) 878-7898 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2025, Aug 22, 2023, Apr 5, 2022 (3 updates tracked since 2022).

About Zachary Andersen NPPES

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

ZACHARY ANDERSEN (NPI 1760123954) is an individual general practice provider in Jbsa Ft Sam Houston, Texas, licensed in Virginia (0101281516) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760123954
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameZACHARY ANDERSEN
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Phone(815) 878-7898
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1760123954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101281516
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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)

Zachary Andersen 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 Zachary Andersen's NPI number?

The NPI number for Zachary Andersen is 1760123954. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Zachary Andersen located?

Zachary Andersen practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (815) 878-7898.

What is Zachary Andersen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Zachary Andersen enrolled in Medicare?

Yes. Zachary Andersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Andersen was last updated on February 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.