NPIMap

Organization Active NPI

Coastal Bend Academic Physcians PA

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1487756359
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COASTAL BEND ACADEMIC PHYSCIANS PA
Practice address
2606 Hospital Blvd
6 West
Corpus Christi, TX 78405
Phone
(361) 902-6713
Fax
(361) 902-4746
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Jennifer A Schroeder, MDNPI 1134126600
Title
President
Phone
(361) 902-4458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2606 Hospital Blvd
6 West
Corpus Christi, TX 78405

Mailing address

PO Box 5068
Corpus Christi, TX 78465-5068
Phone (361) 902-6713

Other names 1

  • Nueces County Medical Education Foundation Former legal business name

National Provider Directory

National Provider Directory

Locations

2606 Hospital Blvd
#6W
Corpus Christi, TX 78405
Phone (361) 902-6713

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1487756359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5068",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784655068",
            "telephone_number": "361-902-6713",
            "fax_number": "361-902-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "address_2": "6 WEST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78405",
            "telephone_number": "361-902-6713",
            "fax_number": "361-902-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND ACADEMIC PHYSCIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-902-4458",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nueces County Medical Education Foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.