Active NPI
E Daryl Bickford Mdpa
- Otolaryngology Physician
- Victoria, TX
National Provider Identifier
1174815336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283102601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.