Organization Active NPI

Complete Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Corpus Christi, TX
National Provider Identifier
1306994686
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1505 Issued in TX
Legal business name
COMPLETE PODIATRY PC
Practice address
613 Elizabeth St Ste 200
Corpus Christi, TX 78404-2221
Phone
(361) 884-5900
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
Dr. Bryan G Corum
Title
Owner
Phone
(361) 884-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1505 TX Primary

Addresses

Primary practice location

613 Elizabeth St Ste 200
Corpus Christi, TX 78404-2221

Mailing address

613 Elizabeth St Ste 200
Corpus Christi, TX 78404-2221
Phone (361) 884-5900

National Provider Directory

National Provider Directory

Locations

613 Elizabeth St
Ste 200
Corpus Christi, TX 78404
Phone (361) 434-0966

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1306994686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042221",
            "telephone_number": "361-884-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042221",
            "telephone_number": "361-884-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "CORUM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-884-5900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.