Active NPI
Thomas a Ginn Mdpa
- Specialist
- Bryan, TX
National Provider Identifier
1104982537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F3999
- Legal business name
- THOMAS A GINN MDPA
- Practice address
- 3201 University Dr E
Suite 345
Bryan, TX 77802-3475 - Phone
- (979) 776-5120
- Fax
- (979) 731-8105
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas A Ginn, MD
- Title
- President
- Phone
- (979) 776-5120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F3999 | TX | Primary |
Addresses
Primary practice location
3201 University Dr E
Suite 345
Bryan, TX 77802-3475
Mailing address
3201 University Dr E
Suite 345
Bryan, TX 77802-3475
Phone (979) 776-5120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060PY | Other | TX | BLUECROSSBLUESHIELD GROUP |
| P00158864 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1104982537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E",
"address_2": "SUITE 345",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023475",
"telephone_number": "979-776-5120",
"fax_number": "979-731-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E",
"address_2": "SUITE 345",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023475",
"telephone_number": "979-776-5120",
"fax_number": "979-731-8105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS A GINN MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "GINN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-776-5120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "F3999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD GROUP",
"identifier": "0060PY",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00158864",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.