Active NPI
Gregory Lane Keffer, MD
- Obstetrics & Gynecology Physician
- Bay City, TX
National Provider Identifier
1487618294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- H3086
- Practice address
- 111 Avenue F
Bay City, TX 77414-4117 - Phone
- (979) 245-9754
- Fax
- (979) 244-3750
- NPI assigned
- Apr 17, 2006
- Last updated
- Oct 21, 2013
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | H3086 | TX | Primary |
Addresses
Primary practice location
111 Avenue F
Bay City, TX 77414-4117
Mailing address
2100 Regional Medical Dr
Wharton, TX 77488-9719
Phone (979) 532-1700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO1209193 | Other | TX | RAILROAD MEDICARE # |
| 114508802 | Medicaid | TX | |
| 160039179 | Other | TX | RAILROAD GBA - RAILROAD MEDICARE |
| 83Y420 | Other | TX | BC/BS TX# |
| 114508806 | Medicaid | TX | |
| 8DE531 | Other | TX | BC/BS # |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Medical Clinics, P.a. | Past | Accepting new patients | |
| South Texas Medical Clinics, P.a. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- East Bernard, TX
- NPI 1114077427
-
- General Practice Physician
- Wharton, TX
- NPI 1770688905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1487618294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 REGIONAL MEDICAL DR",
"city": "WHARTON",
"state": "TX",
"postal_code": "774889719",
"telephone_number": "979-532-1700",
"fax_number": "979-532-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 AVENUE F",
"city": "BAY CITY",
"state": "TX",
"postal_code": "774144117",
"telephone_number": "979-245-9754",
"fax_number": "979-244-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEFFER",
"first_name": "GREGORY",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "H3086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "PO1209193",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114508802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GBA - RAILROAD MEDICARE",
"identifier": "160039179",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS TX#",
"identifier": "83Y420",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114508806",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS #",
"identifier": "8DE531",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.