Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1881781565 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry Ray Baskerville , MD

Emergency Medicine • Temple, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Baskerville has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2006
NPI Deactivation Date April 24, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Baskerville, MD was a registered Emergency Medicine practicing in Temple, TX. Throughout an active medical career spanning 19 years, Dr. Baskerville provided care at the practice location at 2003 W AVENUE H until profile deactivation on 2025-04-24.

Practice Location & Contact Primary Location

Practice Address

2003 W Avenue H

Temple, TX 765045256

Telephone 2547741880
Fax 2063398755
Associated Practice Facility / Clinic
🏢 Caduceus Solutions, Pllc Facility NPI 1902268345

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Temple, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.4 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
171 Specialists

Practicing in Temple, TX (5048 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License TX G1607

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

NPI Profile Active August 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2016

Registered at 2003 W AVENUE H, TEMPLE, TX 765045256 (Tel: 2547741880)

📍
Updated Business Mailing Address August 09, 2016

Registered at 4500 FRANKLIN RD, TROY, TX 765793500 (Tel: 2547183142)

👤
Provider Name / Credentials Updated August 09, 2016

Recorded as JERRY BASKERVILLE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2016

Emergency Medicine (License #G1607 in TX)

🟢
Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jerry Baskerville. Be the first to share your experience!

Sign in to leave a review for Dr. Jerry Baskerville

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1881781565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: August 09, 2016
Deactivation Date: April 24, 2025

Mailing Address

4500 Franklin Rd

Troy, TX 765793500

Phone: 2547183142

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.