Organization Active NPI

Burcham C. Fuqua, MD, PA

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1497913040
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F9456 Issued in TX
Legal business name
BURCHAM C. FUQUA, MD, PA
Practice address
5826 Esplanade Dr
Suite 303
Corpus Christi, TX 78414-4173
Phone
(361) 991-7039
Fax
(361) 994-1941
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Burcham Cooper Fuqua, MD
Title
President
Phone
(361) 991-7039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X F9456 TX Primary

Addresses

Primary practice location

5826 Esplanade Dr
Suite 303
Corpus Christi, TX 78414-4173

Mailing address

5826 Esplanade Dr
Suite 303
Corpus Christi, TX 78414-4173
Phone (361) 991-7039

National Provider Directory

National Provider Directory

Locations

3434 Saratoga Blvd
Ste 105
Corpus Christi, TX 78415
Phone (361) 991-7039

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1497913040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 ESPLANADE DR",
            "address_2": "SUITE 303",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144173",
            "telephone_number": "361-991-7039",
            "fax_number": "361-994-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 ESPLANADE DR",
            "address_2": "SUITE 303",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144173",
            "telephone_number": "361-991-7039",
            "fax_number": "361-994-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURCHAM C. FUQUA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "FUQUA",
        "authorized_official_first_name": "BURCHAM",
        "authorized_official_middle_name": "COOPER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-991-7039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 19, 2010; 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.