Boniface Gbalazeh, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

E8260 Issued in TX

Practice address

114 Sandstone CT
Victoria, TX 77904-2952

Phone

(361) 212-4806

Fax

(361) 212-7683

NPI assigned

Mar 5, 2007

Last updated

Feb 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Cahrmc

  dba Rice Medical Associates

  • Rural Health Clinic/Center
  • Eagle Lake, TX
  • NPI 1114255833
  NPD
• Cahrmc

  dba Rice Medical Center

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928
  NPD
• Cahrmc

  dba Lighthouse-Eagle Lake

  • Geriatric Psychiatry Physician
  • Eagle Lake, TX
  • NPI 1326560442
  NPD
• Emergency Hospital Systems LLC

  dba Cleveland Emergency Hospital

  • General Acute Care Hospital
  • Cleveland, TX
  • NPI 1992172019
  NPD
• Jackson County Hospital District

  dba Jackson County Hospital Physicians Group

  • Emergency Medicine Physician
  • Edna, TX
  • NPI 1215971478
  NPD
• Jackson County Hospital District

  dba Jackson County Medical Clinic of Ganado

  • Rural Health Clinic/Center
  • Ganado, TX
  • NPI 1679445654
  NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Tomball, TX
  • NPI 1154619658
  NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Arlington, TX
  • NPI 1821327321
  NPD
• Lone Star Emergency Associates LLC

  • Emergency Medicine Physician
  • Victoria, TX
  • NPI 1457709040
  NPD
• Southwest Medical Associates, Inc.

  • Emergency Medicine Physician
  • Electra, TX
  • NPI 1831299122
  NPD
• Victoria Emergency Associates LLC

  • Emergency Medicine Physician
  • Victoria, TX
  • NPI 1407917164
  NPD
• Victoria Emergency Partners LLC

  • Emergency Medicine Physician
  • Gonzales, TX
  • NPI 1164770996
  NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1316076482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SANDSTONE CT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042952",
            "telephone_number": "361-212-4806",
            "fax_number": "361-212-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SANDSTONE CT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042952",
            "telephone_number": "361-212-4806",
            "fax_number": "361-212-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBALAZEH",
        "first_name": "BONIFACE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "E8260",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E8260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dante H Garza, MD
• Elizabeth Renee Garza, MD
• Gerald Garza
• Pablo Garza, M.D.
• Samantha Garza
• Gentiana Bakaj MD PLLC
• Jeremy Desmond George, MD
• Elia Ghattas
• Carla Diane Gibbs, PA-C
• Elizabeth Ann Gifford, MT-BC

• Emergency Medicine Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.