Individual provider Active NPI

Nicholas Michael Bown, MD

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1124068234
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L9106 Issued in TX
Practice address
613 Elizabeth St
Suite 702
Corpus Christi, TX 78404-2220
Phone
(361) 883-4800
NPI assigned
Jun 7, 2006
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L9106 TX Primary
Family Medicine Physician 207Q00000X L9106 TX

Addresses

Primary practice location

613 Elizabeth St
Suite 702
Corpus Christi, TX 78404-2220

Mailing address

318 Sunset Ave
Corpus Christi, TX 78404-2433
Phone (361) 443-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000775 TX Practitioner - Emergency MedicinePractitioner - Family Practice 6901864529 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Mar 28, 2024 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Texas Emergency Room Services, PA Emergency Medicine Past Accepting new patients
Leatherland Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1124068234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 SUNSET AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042433",
            "telephone_number": "361-443-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST",
            "address_2": "SUITE 702",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042220",
            "telephone_number": "361-883-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWN",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L9106",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.