Organization Active NPI

V & B Family Clinic

  • Family Medicine Physician
  • Purcell, OK
National Provider Identifier
1285956128
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
V & B FAMILY CLINIC
Practice address
1401 N 4TH Ave
Suite 100
Purcell, OK 73080-1806
Phone
(405) 527-1075
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Victor E Pascual Chagman, MDNPI 1598922908
Title
Director
Phone
(405) 527-1075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1401 N 4TH Ave
Suite 100
Purcell, OK 73080-1806

Mailing address

PO Box 960401
Oklahoma City, OK 73196-0401
Phone (405) 844-1830

Other identifiers 1

IdentifierTypeStateIssuer
200300570AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100715000488 OK Part B Supplier - Clinic/Group Practice 2466584156 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

4336 NW 23rd St
Oklahoma City, OK 73107
Phone (405) 527-1075

1401 N 4th Ave
Ste 100
Purcell, OK 73080
Phone (405) 527-1075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1285956128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960401",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960401",
            "telephone_number": "405-844-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 4TH AVE",
            "address_2": "SUITE 100",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730801806",
            "telephone_number": "405-527-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V & B FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "PASCUAL CHAGMAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-527-1075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200300570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.