Individual provider Active NPI

Clayton Matthew Bishop, MD, MPH

  • Otolaryngology Physician
  • Corpus Christi, TX
National Provider Identifier
1386136174
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
U3479 Issued in TX
Practice address
5959 S Staples St
Ste 102
Corpus Christi, TX 78413-3844
Phone
(361) 854-7000
Fax
(361) 814-2685
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X U3479 TX
Otolaryngology Physician 207Y00000X BP10063418 TX
Otolaryngology Physician 207Y00000X U3479 TX Primary

Addresses

Primary practice location

5959 S Staples St
Ste 102
Corpus Christi, TX 78413-3844

Mailing address

5959 S Staples St
Ste 102
Corpus Christi, TX 78413-3844
Phone (361) 854-7000

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
I20230623001977 TX Practitioner - Otolaryngology 0042449779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians
Ear, Nose and Throat Associates of Corpus ChristiGroup PAC ID 0840288700, 13 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

5959 S Staples St
Suite 102
Corpus Christi, TX 78413-3844
Phone (361) 854-7000

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10063418TXMDOtolaryngology Physician
U3479TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Associates of Corpus Christi Otolaryngology CurrentSince Jul 1, 2023 Accepting new patients

Locations

5959 S Staples St
Ste 102
Corpus Christi, TX 78413
Phone (361) 500-4949

3318 S Alameda St
Corpus Christi, TX 78411
Phone (361) 854-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFAJBA

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1386136174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S STAPLES ST",
            "address_2": "STE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133844",
            "telephone_number": "361-854-7000",
            "fax_number": "361-814-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 S STAPLES ST",
            "address_2": "STE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133844",
            "telephone_number": "361-854-7000",
            "fax_number": "361-814-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "CLAYTON",
        "middle_name": "MATTHEW",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "U3479",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "BP10063418",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "U3479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.