Individual provider Active NPI

Amber Renee Hairfield, DO

  • Pediatrics Physician
  • Galveston, TX
National Provider Identifier
1316104045
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
BP10032065 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-0354
Phone
(409) 772-3695
Fax
(409) 747-0721
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP10032065 TX Primary

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-0354

Mailing address

PO Box 650859
Dept 710
Dallas, TX 75265-0354
Phone (409) 747-6240

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
I20120920000704 TX Practitioner - Pediatric Medicine 2860640588 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10032065TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Pediatrics CurrentSince Aug 13, 2012 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

6416 Broadway St
Galveston, TX 77551
Phone (409) 744-5437

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2785 Gulf Fwy S
Ste 200
League City, TX 77573
Phone (409) 772-3695

Interoperability endpoints

  • Direct secure messaging: ahairfielddo1621@direct.utmb.edu

Organizations & group practices 2

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1316104045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859",
            "address_2": "DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650354",
            "telephone_number": "409-747-6240",
            "fax_number": "409-747-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550354",
            "telephone_number": "409-772-3695",
            "fax_number": "409-747-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRFIELD",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10032065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.