MAMIE CATHERINE STULL MD
NPI 1932460656
General Practice in Fort Sam Houston, TX

Q: What is Mamie Stull's NPI number?

The NPI number for Mamie Stull is 1932460656. It was assigned to this individual provider in the NPPES registry on May 30, 2012. The provider is also known as Mamie Groomes.

Q: What is Mamie Stull's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mamie Stull was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since May 30, 2012PECOS Enrolled

3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 916-0439(210) 916-6658 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mamie Catherine Stull Md NPPES

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

MAMIE CATHERINE STULL MD (NPI 1932460656) is an individual general practice provider in Fort Sam Houston, Texas, licensed in Virginia (0101255255) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932460656

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameMAMIE CATHERINE STULLCredential: MD

Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504

Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 916-0439 · Fax (210) 916-6658

Phone(210) 916-0439

Fax(210) 916-6658

Sole ProprietorNo

Enumeration DateMay 30, 2012

Last NPPES UpdateSeptember 22, 2014

✔ NPI 1932460656 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 · 0101255255

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, Fort Sam Houston, TX 78234

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Other Names 1

Former Name (1)Mamie Groomes

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamie Catherine Stull Md 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.

JANET JONES SIMS CRNA

Nurse Anesthetist, Certified Registered

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (253) 223-6272

JAMES KENNEDY HARDIN PA-C

Physician Assistant

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234

Bexar County (210) 295-4996

DR. DANIEL VICTOR-CALVIN HAMMOND M.D.

Pediatrics (Pediatric Endocrinology)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-3020

JESSICA FULLER LCSW

Social Worker (Clinical)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 808-1859

DR. JASON ROBERT HALL M.D.

Neurological Surgery

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

MRS. KATHRYN ELAINE HELLAND LCSW

Social Worker (Clinical)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

DR. HALWARD BLEGEN IV DO

Ophthalmology

3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234

Bexar County (210) 220-7419

KOLE HOLLAND SPAULDING M.D.

Emergency Medicine (Emergency Medical Services)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

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 Mamie Stull's NPI number?

The NPI number for Mamie Stull is 1932460656. It was assigned to this individual provider in the NPPES registry on May 30, 2012. The provider is also known as Mamie Groomes.

Where is Mamie Stull located?

Mamie Stull practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-0439.

What is Mamie Stull's specialty?

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

Is Mamie Stull enrolled in Medicare?

Yes. Mamie Stull is registered in the Medicare PECOS enrollment system.

What insurance does Mamie Stull accept?

Health plans from Blue Cross and Blue Shield of Texas list Mamie Stull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mamie Stull was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.