Granbury Internal Medicine Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GRANBURY INTERNAL MEDICINE ASSOCIATES, PC

Practice address

1318 Paluxy Rd
Granbury, TX 76048-5655

Phone

(817) 573-8805

Fax

(817) 279-9515

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Randall Dean Barnes, D.O.

Title

President, Gima,PC

Phone

(817) 573-8805

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ruston Ladd Jennings, M.D.

  • Internal Medicine Physician
  • Granbury, TX
  • NPI 1972532323
  NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1124054895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-8805",
            "fax_number": "817-279-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-8805",
            "fax_number": "817-279-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANBURY INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT, GIMA,PC",
        "authorized_official_telephone_number": "817-573-8805",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0825960-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Granbury Family Med Clinic
• Granbury Hood County Emergency
• Granbury Hospital Corporation
• Granbury Hospital Corporation
• Granbury II Enterprises, LLC
• Granbury Isd
• Granbury Massage and Wellness
• Granbury Park Dental GPS PLLC
• Granbury Pediatrics & Associates
• Granbury SNF LLC

• Internal Medicine Physician in Granbury, TX
• Providers in Granbury, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.