Dr. Jack D Elder, MD
Dr. Jack D Elder is a Sports Medicine (Orthopaedic Surgery) Physician provider (Orthopaedic Surgery) practicing in Longview, TX, registered in the NPPES registry with NPI 1184691792 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184691792 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jack D Elder |
| Credential | MD |
| Sex | Male |
| Practice address | 709 HOLLYBROOK DR, SUITE 3401, Longview, TX, 75605 |
| Phone | 9037531778 |
| Fax | 9037537202 |
| Enumeration date | 2006-03-02 |
| Last updated in NPPES | 2012-09-04 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | Primary | D2419 | TX |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Jack Elder, MD NPI: 1184691792 Taxonomy: 207XX0005X (Sports Medicine (Orthopaedic Surgery) Physician) Address: 709 HOLLYBROOK DR, SUITE 3401, Longview, TX, 75605
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992781090 | Sanford Watkins | Individual | Internal Medicine Physician | Longview, TX |
| 1043287816 | Samir Germanwala | Individual | Cardiovascular Disease Physician | Longview, TX |
| 1437126034 | Edward Liu | Individual | Sports Medicine (Orthopaedic Surgery) Physician | Longview, TX |
| 1225005705 | Anita Scribner | Individual | Internal Medicine Physician | Longview, TX |
| 1093782427 | Mark Witt | Individual | Podiatrist | Longview, TX |
| 1639117260 | Stephen Somerville MD PA | Organization | Anatomic Pathology & Clinical Pathology Physician | Longview, TX |
| 1497869481 | Kcn Novak LLC | Organization | Community/Retail Pharmacy | Longview, TX |
| 1083724520 | Rodney Henry | Individual | Interventional Cardiology Physician | Longview, TX |
Verify this record
Cross-check NPI 1184691792 against the authoritative CMS record: view Dr. Jack D Elder on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where does Jack Elder practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-09-04.