Individual provider Active NPI

Earl Bertram Matthew, M.D.

  • Infectious Disease Physician
  • Rockport, TX
National Provider Identifier
1295891166
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
TX D-4624 Issued in TX
Practice address
81 Griffith Dr
Rockport, TX 78382-7033
Phone
(361) 790-9579
Fax
(361) 790-9579
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X TX D-4624 TX Primary

Addresses

Primary practice location

81 Griffith Dr
Rockport, TX 78382-7033

Mailing address

81 Griffith Dr
Rockport, TX 78382-7033
Phone (361) 790-9579

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
I20041105000379 TX Practitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - Emergency Medicine 6305809880 Practice locations: Aransas Pass, TX; Corpus Christi, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TX D-4624TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ematthew249338@christushealth.direct-ci.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1295891166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 GRIFFITH DR",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783827033",
            "telephone_number": "361-790-9579",
            "fax_number": "361-790-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 GRIFFITH DR",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783827033",
            "telephone_number": "361-790-9579",
            "fax_number": "361-790-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "EARL",
        "middle_name": "BERTRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "TX D-4624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

Verify at the official NPI Registry.