Organization Active NPI

Egbert Miranda M.D. P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Corpus Christi, TX
National Provider Identifier
1629365820
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
H7792 Issued in TX
Legal business name
EGBERT MIRANDA M.D. P.A.
Practice address
5934 S Staples St Ste 205
Corpus Christi, TX 78413-3842
Phone
(361) 991-5520
Fax
(361) 991-5521
NPI assigned
Jul 8, 2011
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
EGBERT MIRANDA M.D. P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Dr. Egbert Miranda, M.D.NPI 1093785230
Title
Owner/Physician
Phone
(361) 991-5520

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
Endocrinology, Diabetes & Metabolism Physician 207RE0101X H7792 TX Primary

Addresses

Primary practice location

5934 S Staples St Ste 205
Corpus Christi, TX 78413-3842

Mailing address

5934 S Staples St Ste 205
Corpus Christi, TX 78413-3842
Phone (361) 991-5520

Other identifiers 1

IdentifierTypeStateIssuer
1093785230OtherTXTPI# 153378801

National Provider Directory

National Provider Directory
Tax ID family
Egbert Miranda Mdpa2 organizations share this tax ID, including this one
Part of
Egbert Miranda Mdpa

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1629365820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 S STAPLES ST STE 205",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133842",
            "telephone_number": "361-991-5520",
            "fax_number": "361-991-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 S STAPLES ST STE 205",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133842",
            "telephone_number": "361-991-5520",
            "fax_number": "361-991-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGBERT MIRANDA M.D. P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EGBERT MIRANDA M.D. P.A.",
        "enumeration_date": "2011-07-08",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "EGBERT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "361-991-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "H7792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI# 153378801",
            "identifier": "1093785230",
            "state": "TX"
        }
    ],
    "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 Feb 12, 2019; 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.