Jack Elder, MD
NPI 1184691792 · Sports Medicine (Orthopaedic Surgery) Physician · Longview, TX
Jack Elder, MD is a Sports Medicine (Orthopaedic Surgery) Physician provider in Longview, TX (NPI 1184691792).
Provider details
- NPI number
- 1184691792
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D2419 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-02
- Last updated
- 2012-09-04
Frequently asked questions
- What is Jack Elder's NPI number?
- Jack Elder's National Provider Identifier (NPI) is 1184691792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Elder's specialty?
- Jack Elder is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Elder located?
- Jack Elder's practice location on file with NPPES is 709 Hollybrook Dr, Longview, TX 75605-2411.
- What is Jack Elder's phone number?
- The practice phone number listed in the NPPES registry for Jack Elder is (903) 753-1778.
- Is Jack Elder's NPI active?
- Yes — Jack Elder's NPI (1184691792) is active in the NPPES registry as of the last update on 2012-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.