NPIMap

Organization Active NPI

Nathan Nguyen, MD, PA

Doing business as Regent Adult and Pediatric Clinic

  • Family Medicine Physician
  • Wharton, TX
National Provider Identifier
1336393156
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0318 Issued in TX
Legal business name
NATHAN NGUYEN, MD, PA
Doing business as
Regent Adult and Pediatric Clinic
Practice address
1403 Valhalla Dr
Wharton, TX 77488-9218
Phone
(979) 532-2000
Fax
(979) 532-2008
NPI assigned
Nov 6, 2008
Reactivated
Nov 16, 2010
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Dr. Nathan Phuc Nguyen, MDNPI 1821256942
Title
Owner
Phone
(979) 532-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0318 TX Primary

Addresses

Primary practice location

1403 Valhalla Dr
Wharton, TX 77488-9218

Mailing address

1403 Valhalla Dr
Wharton, TX 77488-9218
Phone (979) 532-2000

Other names 1

  • Regent Adult and Pediatric Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1336393156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 VALHALLA DR",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774889218",
            "telephone_number": "979-532-2000",
            "fax_number": "979-532-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 VALHALLA DR",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774889218",
            "telephone_number": "979-532-2000",
            "fax_number": "979-532-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN NGUYEN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2017-04-07",
        "deactivation_date": "2009-02-03",
        "reactivation_date": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "PHUC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-532-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regent Adult and Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wharton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.