Individual provider Active NPI

Allan Barwise Spence, M.D.

  • General Practice Physician
  • Raymondville, TX
National Provider Identifier
1174580930
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
F5757 Issued in TX
Practice address
336 S 8TH St
Raymondville, TX 78580-2526
Phone
(956) 689-2456
Fax
(956) 689-5157
NPI assigned
Apr 27, 2006
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X F5757 TX Primary

Addresses

Primary practice location

336 S 8TH St
Raymondville, TX 78580-2526

Mailing address

336 S 8TH St
Raymondville, TX 78580-2526
Phone (956) 689-2456

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
I20100519000385 TX Practitioner - Family Practice 7012046782 Practice locations: Raymondville, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F5757TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1174580930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S 8TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785802526",
            "telephone_number": "956-689-2456",
            "fax_number": "956-689-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S 8TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785802526",
            "telephone_number": "956-689-2456",
            "fax_number": "956-689-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "ALLAN",
        "middle_name": "BARWISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F5757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

Verify at the official NPI Registry.