The Internal Medicine Center, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J4716 Issued in TX

Legal business name

THE INTERNAL MEDICINE CENTER, P.A.

Doing business as

Elizabeth C. Berigan, M.D.

Practice address

2310 De Lee St
Bryan, TX 77802-2815

Phone

(979) 774-0400

Fax

(979) 774-8908

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Catherine Berigan, M.D.

Title

Owner

Phone

(979) 774-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth C. Berigan, M.D. Doing business as

Locations

Practitioners 1

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

• Prosperity Ezeanuna, MD

  • Nephrology Physician
  • Bryan, TX
  • NPI 1235275900
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1548344401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 DE LEE ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022815",
            "telephone_number": "979-774-0400",
            "fax_number": "979-774-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 DE LEE ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022815",
            "telephone_number": "979-774-0400",
            "fax_number": "979-774-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INTERNAL MEDICINE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "BERIGAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-774-0400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172593901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth C. Berigan, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Regional Eye Center PLLC
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• The National Medical Rentals, Inc.
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• The Sensory Loft
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• Internal Medicine Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.