Individual provider Active NPI

Bennie Johannes Berkvens, M.D.

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1639439573
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q0607 Issued in TX
Practice address
917 S Port Ave
Corpus Christi, TX 78405-2301
Phone
(361) 882-6161
Fax
(888) 711-1008
NPI assigned
May 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X Q0607 TX Primary

Addresses

Primary practice location

917 S Port Ave
Corpus Christi, TX 78405-2301

Mailing address

5930 Regency Dr
Corpus Christi, TX 78414-2413
Phone (254) 592-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021000127 TX Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 6901022656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians

Practice addresses (Care Compare)

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Physician Services, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Corpus Christi Hospitalists, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients
HHA Hospital Medicine of Texas PLLC Past Accepting new patients

Locations

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1639439573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 REGENCY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142413",
            "telephone_number": "254-592-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 S PORT AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784052301",
            "telephone_number": "361-882-6161",
            "fax_number": "888-711-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKVENS",
        "first_name": "BENNIE",
        "middle_name": "JOHANNES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.