NPIMap

Individual provider Active NPI

Eric Wayne Baggerman, MD

  • Pediatrics Physician
  • Corpus Christi, TX
National Provider Identifier
1679820229
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F0015837-436 Issued in TX
Practice address
1533 S Brownlee Blvd
Ste 100
Corpus Christi, TX 78404-3131
Phone
(361) 225-1988
NPI assigned
Aug 13, 2012
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X F0015837-436 TX Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526000876 TX Practitioner - Pediatric Medicine 8729200696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

1533 S Brownlee Blvd
Corpus Christi, TX 78404-3131
Phone (361) 884-2242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0015837-436TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Physician Services of South Texas Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eric.baggerman@bachc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rcm360 LLCCorpus Christi, TX, CCN 671894 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Aug 1, 2024
Aug 1, 2024
Rcm360 LLCRobstown, TX, CCN 451103 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Feb 1, 2021
Feb 1, 2021
Amistad HealthCorpus Christi, TX, CCN 971033 Federally qualified health center W-2 Managing Employee Aug 4, 2014
Amistad HealthRobstown, TX, CCN 971064 Federally qualified health center W-2 Managing Employee
Other		 Mar 6, 2025
Mar 6, 2025
Amistad HealthAransas Pass, TX, CCN 971074 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Jan 29, 2024
Sep 1, 2024
Amistad HealthCorpus Christi, TX, CCN 971102 Federally qualified health center W-2 Managing Employee
Other		 Aug 1, 2024
Aug 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1679820229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 S BROWNLEE BLVD STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043131",
            "telephone_number": "361-884-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S BROWNLEE BLVD",
            "address_2": "STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043131",
            "telephone_number": "361-225-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGERMAN",
        "first_name": "ERIC",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F0015837-436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.