Active NPI
Loyd Alton Graham, M.D.
- Internal Medicine Physician
- Kerrville, TX
National Provider Identifier
1104837210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G5104
- Practice address
- 664 Lower Turtle Creek Rd
Kerrville, TX 78028-8096 - Phone
- (830) 257-5487
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G5104 | TX | Primary |
Addresses
Primary practice location
664 Lower Turtle Creek Rd
Kerrville, TX 78028-8096
Mailing address
3600 Memorial Blvd
VA Hospital
Kerrville, TX 78028-5768
Phone (830) 896-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104837210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 MEMORIAL BLVD",
"address_2": "VA HOSPITAL",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285768",
"telephone_number": "830-896-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 LOWER TURTLE CREEK RD",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780288096",
"telephone_number": "830-257-5487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "LOYD",
"middle_name": "ALTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G5104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.