Phong Thanh Nguyen, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

37174 Issued in NE

Practice address

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Phone

(915) 742-7777

NPI assigned

Mar 29, 2016

Last updated

Apr 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

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.

• Salud Y Vida, P.a.

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1043287287
  Medicare reassignment
• Diagnostic Pro Imaging

  • Diagnostic Radiology Physician
  • El Paso, TX
  • NPI 1346777190
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1164885133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18511 HIGHLAND MEDICS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 HIGHLANDER MEDICS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799065327",
            "telephone_number": "915-742-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHONG",
        "middle_name": "THANH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "37174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Beth Nelson
• Micah S Ngatuvai
• Brian Khoi Ngo, DO
• Oliver Ngumbi
• Minh Nhat Nguyen, DDS
• Marc Nicholes, DO
• Nathan Scott Nielsen, DO
• Andrea Nixon, PA-C
• Danny J Nolasco, RDN, LD
• Julius Caesar Nicolas Nullar, PT, DPT, GCS

• General Practice Physician in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.