Active NPI
Debra C. Eseonu, MD
- Pediatric Gastroenterology Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 0101285342
- Practice address
- 1901 SW H K Dodgen Loop BLDG 300
Temple, TX 76502-1814 - Phone
- (254) 724-5437
- Fax
- (254) 724-7597
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 0101285342 | VA | Primary |
| Pediatric Gastroenterology Physician | 2080P0206X | S2135 | TX | |
| Pediatrics Physician | 208000000X | S2135 | TX |
Addresses
Primary practice location
1901 SW H K Dodgen Loop BLDG 300
Temple, TX 76502-1814
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 828-2467
Other practice location 2
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 828-2467
Other practice location 3
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467
Other practice location 4
2200 Pump Rd Ste 210
Henrico, VA 23233-3539
Phone (804) 828-2467
Other practice location 5
10528 Spotsylvania Ave
Fredericksburg, VA 22408-2710
Phone (804) 828-2467
Other names 1
- Debra C. Okafor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S2135 | TX | MD | Pediatric Gastroenterology Physician |
| 0101285342 | VA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Pediatrics | Current | Accepting new patients |
| MCV Associated Physicians | Pediatrics | Current | Accepting new patients |
Locations
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
1901 SW H K Dodgen Loop
Bldg 300
Temple, TX 76502
Phone (254) 935-4888
2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100
10528 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 891-3173
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1000 E Broad St
Richmond, VA 23219
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
2200 Pump Rd
Ste 210
Richmond, VA 23233
Phone (804) 740-1100
9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1659728525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 SW H K DODGEN LOOP BLDG 300",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021814",
"telephone_number": "254-724-5437",
"fax_number": "254-724-7597"
}
],
"practiceLocations": [
{
"address_1": "9000 Stony Point Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351900",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-628-5852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-628-5852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E Broad St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232191930",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-628-5852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Pump Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232333539",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-628-5852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10528 Spotsylvania Ave",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224082710",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-628-5852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESEONU",
"first_name": "DEBRA",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "VA",
"license": "0101285342",
"primary": true
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "S2135",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S2135",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "OKAFOR",
"middle_name": "C.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.