Organization Active NPI

E Daryl Bickford Mdpa

  • Otolaryngology Physician
  • Victoria, TX
National Provider Identifier
1174815336
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
E DARYL BICKFORD MDPA
Practice address
117 Medical Dr Ste 1
Victoria, TX 77904-3114
Phone
(361) 573-4331
Fax
(361) 573-5096
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Dr. E Daryl Bickford, M.D.
Title
Owner
Phone
(367) 573-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

117 Medical Dr Ste 1
Victoria, TX 77904-3114

Mailing address

117 Medical Dr Ste 1
Victoria, TX 77904-3114
Phone (361) 573-4331

Other identifiers 1

IdentifierTypeStateIssuer
283102601MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1174815336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MEDICAL DR STE 1",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043114",
            "telephone_number": "361-573-4331",
            "fax_number": "361-573-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MEDICAL DR STE 1",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043114",
            "telephone_number": "361-573-4331",
            "fax_number": "361-573-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E DARYL BICKFORD MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "BICKFORD",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "DARYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "367-573-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283102601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.