Individual provider Active NPI

Val M. Runge, M.D.

  • Diagnostic Radiology Physician
  • Galveston, TX
National Provider Identifier
1316908601
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L3108 Issued in TX
Practice address
103 University Hospital Clinics
301 University Boulevard Dept Radiology, 2.
Galveston, TX 77555-0709
Phone
(409) 747-0100
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L3108 TX Primary

Addresses

Primary practice location

103 University Hospital Clinics
301 University Boulevard Dept Radiology, 2.
Galveston, TX 77555-0709

Mailing address

103 University Hospital Clinics
301 University Boulevard Dept Radiology, 2.
Galveston, TX 77555-0709
Phone (409) 747-0100

Other identifiers 4

IdentifierTypeStateIssuer
1474975-02OtherTXCSHCN
300126924OtherTXRR/MEDICARE
1474975-01MedicaidTX
8B5539OtherTXBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3108TXMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1316908601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 UNIVERSITY HOSPITAL CLINICS",
            "address_2": "301 UNIVERSITY BOULEVARD DEPT RADIOLOGY, 2.",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550709",
            "telephone_number": "409-747-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 UNIVERSITY HOSPITAL CLINICS",
            "address_2": "301 UNIVERSITY BOULEVARD DEPT RADIOLOGY, 2.",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550709",
            "telephone_number": "409-747-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "VAL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L3108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "1474975-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "300126924",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1474975-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8B5539",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.