Organization Active NPI

Tom W Dorrell Jr MD PA

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1073685822
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4090 Issued in TX
Legal business name
TOM W DORRELL JR MD PA
Practice address
14433 S Padre Island Dr
Corpus Christi, TX 78418-5938
Phone
(361) 949-1900
Fax
(361) 949-2005
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tom W Dorrell Jr., M.D.,PA
Title
Doctor
Phone
(361) 949-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J4090 TX Primary

Addresses

Primary practice location

14433 S Padre Island Dr
Corpus Christi, TX 78418-5938

Mailing address

14433 S Padre Island Dr
Corpus Christi, TX 78418-5938
Phone (361) 949-1900

Other identifiers 1

IdentifierTypeStateIssuer
79LZOtherTXBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

14433 S Padre Island Dr
Corpus Christi, TX 78418
Phone (361) 949-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1073685822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14433 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185938",
            "telephone_number": "361-949-1900",
            "fax_number": "361-949-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14433 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185938",
            "telephone_number": "361-949-1900",
            "fax_number": "361-949-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM W DORRELL JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "DORRELL",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "361-949-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D.,PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "79LZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.