JCM Vein PLLC Vein Care Coastal Bend

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

JCM VEIN PLLC VEIN CARE COASTAL BEND

Practice address

3301 S Alameda St Ste 402
Corpus Christi, TX 78411-1882

Phone

(361) 371-8100

Fax

(361) 371-8101

NPI assigned

Sep 8, 2017

Organization subpart

No

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

Authorized official

Name

Charles Rodman, MDNPI 1316002785

Title

President

Phone

(361) 884-2904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Charles J Rodman, MD

  • Vascular Surgery Physician
  • Corpus Christi, TX
  • NPI 1316002785
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1508384652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-884-2904",
            "fax_number": "361-884-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST STE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-371-8100",
            "fax_number": "361-371-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCM VEIN PLLC VEIN CARE COASTAL BEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-884-2904",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason C Bradford MD PA
• Jason J. Vasquez, DDS, PC
• Javier Alonso, M.D., PH.D., P.a.
• Punitha Jayaramaraju, MBBS
• Noel Chan Jazul, APRN
• Jeanny Rickards DPM, PLLC
• Oluwafisayo Adedayo Jejelowo, DO, MAA, MS
• Jemson Inc
• Kendra Dale Jenkins, NP
• Jennifer L Davis MD PLLC

• Vascular Surgery Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.