Individual provider Active NPI

Corey Charles Clifford, D.O./MBA

  • Maternal & Fetal Medicine Physician
  • Galveston, TX
National Provider Identifier
1487097952
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
R1722 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-3000
Phone
(409) 772-0596
Fax
(713) 383-1464
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R1722 TX
Maternal & Fetal Medicine Physician 207VM0101X R1722 TX Primary

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-3000

Mailing address

PO Box 650859 Dept 710
Dallas, TX 75265-5302
Phone (409) 772-0620

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
I20170601001481 TX Practitioner - Obstetrics/Gynecology 7315214947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
R1722TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Ut Physicians CurrentSince Jul 1, 2017 Accepting new patients
Ut Physicians Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1108 E Mulberry St
Angleton, TX 77515
Phone (832) 656-2561

1108 E Mulberry St
Ste A
Angleton, TX 77515
Phone (979) 849-0692

195 N 11th St
Beaumont, TX 77702
Phone (409) 838-0045

701 E Davis St
Ste A
Conroe, TX 77301
Phone (936) 525-2800

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

301 University Blvd
Fl 7
Galveston, TX 77555
Phone (409) 772-1175

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste 210
Houston, TX 77030
Phone (832) 325-7288

6431 Fannin St
#3286
Houston, TX 77030
Phone (713) 500-7780

6410 Fannin St
Ste 250
Houston, TX 77030
Phone (713) 500-4360

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

250 Blossom St
Ste 350
Webster, TX 77598
Phone (832) 505-3010

Organizations & group practices 5

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1487097952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859 DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752655302",
            "telephone_number": "409-772-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775553000",
            "telephone_number": "409-772-0596",
            "fax_number": "713-383-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "COREY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O./MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R1722",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "R1722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.