Individual provider Active NPI

Gregory Lane Keffer, MD

  • Obstetrics & Gynecology Physician
  • Bay City, TX
National Provider Identifier
1487618294
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H3086 Issued in TX
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PO1209193OtherTXRAILROAD MEDICARE #
114508802MedicaidTX
160039179OtherTXRAILROAD GBA - RAILROAD MEDICARE
83Y420OtherTXBC/BS TX#
114508806MedicaidTX
8DE531OtherTXBC/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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.