Active NPI
Joseph Peter Corkum, MD
- Plastic Surgery Physician
- Houston, TX
National Provider Identifier
1467059063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- BP10073236
- Practice address
- 1400 Pressler St Unit 1488
Houston, TX 77030-3722 - Phone
- (902) 802-8434
- NPI assigned
- Oct 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | BP10073236 | TX | Primary |
Addresses
Primary practice location
1400 Pressler St Unit 1488
Houston, TX 77030-3722
Mailing address
1911 Holcombe Blvd Apt 703
Houston, TX 77030-4183
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10073236 | TX | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1467059063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 HOLCOMBE BLVD APT 703",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PRESSLER ST UNIT 1488",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303722",
"telephone_number": "902-802-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORKUM",
"first_name": "JOSEPH",
"middle_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-06",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "BP10073236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.