Organization Active NPI

George a. Durham, D.C., P.C.

Doing business as Durham Clinic

  • Chiropractor
  • Corpus Christi, TX
National Provider Identifier
1134327729
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7282 Issued in TX
Legal business name
GEORGE A. DURHAM, D.C., P.C.
Doing business as
Durham Clinic
Practice address
5443 Everhart Rd
Ste C
Corpus Christi, TX 78411-4888
Phone
(361) 852-2211
Fax
(361) 852-2633
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
George A. Durham, D.C.NPI 1245262625
Title
Proprietor
Phone
(832) 249-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7282 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

5443 Everhart Rd
Ste C
Corpus Christi, TX 78411-4888

Mailing address

5443 Everhart Rd
Ste C
Corpus Christi, TX 78411-4888
Phone (361) 852-2211

Other names 1

  • DURHAM CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719000324 TX Part B Supplier - Clinic/Group Practice 5496782781 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

5135 Aldine Mail Rte
Ste 300
Houston, TX 77039
Phone (281) 987-3999

6111 FM 1960 Rd W
Ste 102
Houston, TX 77069
Phone (281) 444-1800

Practitioners & affiliated clinicians

Practitioners 2

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": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1134327729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5443 EVERHART RD",
            "address_2": "STE C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114888",
            "telephone_number": "361-852-2211",
            "fax_number": "361-852-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 EVERHART RD",
            "address_2": "STE C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114888",
            "telephone_number": "361-852-2211",
            "fax_number": "361-852-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A. DURHAM, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "832-249-7246",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7282",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DURHAM CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DURHAM CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.