Richard D Alford, M.D, F.A.C.S
Individual provider Active NPI Surgery Physician · Bryan, TX
NPI 1205946340 · NPPES record last updated Jan 25, 2016
Key facts
- NPI
- 1205946340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- G7969 (TX)
- Practice address
- 2700 E 29TH St Ste 105
Bryan, TX 77802-2507 - Phone
- (979) 776-5631
- Fax
- (979) 776-6184
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent Specialty Associates of Texas PLLC
Practice addresses (Care Compare)
500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-2511
6801 Emmett F Lowry Expy
Texas City, TX 77591-2500
Phone (800) 930-6313
710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone (281) 440-1000
Hospital & facility affiliations
- HCA Houston Healthcare Kingwood
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110218000977 | TX | Practitioner - General Surgery | 6507802139 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G7969 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Specialty Associates of Texas, PLLC | Current |
Accepting new patients | |
| Jonathan a. Friedman, M.D., PLLC | Past | Accepting new patients | |
| St Joseph Regional Health Center | Past | Accepting new patients |
Locations
7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400
6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095
500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G7969 | TX | |
| Surgery Physician | 208600000X | G7969 | TX | Yes |
Addresses
Primary practice location
2700 E 29TH St Ste 105
Bryan, TX 77802-2507
Mailing address
2800 S Texas Ave
Suite 202
Bryan, TX 77802-5361
Phone (979) 774-2061
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120415806 | Medicaid | TX |
NPI Registry JSON
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1205946340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S TEXAS AVE",
"address_2": "SUITE 202",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025361",
"telephone_number": "979-774-2061",
"fax_number": "979-776-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 29TH ST STE 105",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022507",
"telephone_number": "979-776-5631",
"fax_number": "979-776-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFORD",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D, F.A.C.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G7969",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G7969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120415806",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.