Eric Wayne Baggerman, MD
Individual provider Active NPI Pediatrics Physician · Corpus Christi, TX
NPI 1679820229 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1679820229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- F0015837-436 (TX)
- Practice address
- 1533 S Brownlee Blvd
Ste 100
Corpus Christi, TX 78404-3131 - Phone
- (361) 225-1988
- NPI assigned
- Aug 13, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Texas Medical Branch at Galveston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amistad Community Health Center Incorporated
Practice addresses (Care Compare)
1533 S Brownlee Blvd
Corpus Christi, TX 78404-3131
Phone (361) 884-2242
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Rcm360 LLC |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Aug 1, 2024 Aug 1, 2024 |
| Rcm360 LLC |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Feb 1, 2021 Feb 1, 2021 |
| Amistad Health |
Federally qualified health center | W-2 Managing Employee | Aug 4, 2014 |
| Amistad Health |
Federally qualified health center | W-2 Managing Employee Other |
Mar 6, 2025 Mar 6, 2025 |
| Amistad Health |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jan 29, 2024 Sep 1, 2024 |
| Amistad Health |
Federally qualified health center | W-2 Managing Employee Other |
Aug 1, 2024 Aug 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526000876 | TX | Practitioner - Pediatric Medicine | 8729200696 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0015837-436 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Physician Services of South Texas | Past | Accepting new patients |
Interoperability endpoints
- eric.baggerman@bachc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F0015837-436 | TX | Yes |
Addresses
Primary practice location
1533 S Brownlee Blvd
Ste 100
Corpus Christi, TX 78404-3131
Mailing address
1533 S Brownlee Blvd Ste 100
Corpus Christi, TX 78404-3131
Phone (361) 884-2242
Other providers in Corpus Christi, TX
- Souhad Bachnak
- Daniela Badea-Mic
- Beatriz Torres Badelles
- Jessica Lyn Bader
- Anna Hayes Baer
- Mikkel Bahamondes
- Faraz Ahmad Baig
- Charla Gene Bailey
- Kathleen M. Bailey
- Nicole Bailey
All providers in Corpus Christi, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.