NPIMap

Organization Active NPI

R. Bryan Gulley DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Corpus Christi, TX
National Provider Identifier
1689030876
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
R. BRYAN GULLEY DDS PLLC
Practice address
6421 Saratoga Blvd
BLDG 101
Corpus Christi, TX 78414
Phone
(361) 992-3873
Fax
(361) 992-7328
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Dr. Robert Bryan Gulley, DDS
Title
Owner / Oral Surgeon
Phone
(361) 992-3873

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

6421 Saratoga Blvd
BLDG 101
Corpus Christi, TX 78414

Mailing address

6421 Saratoga Blvd
BLDG 101
Corpus Christi, TX 78414
Phone (361) 992-3873

National Provider Directory

National Provider Directory

Locations

6421 Saratoga Blvd
Bldg 101
Corpus Christi, TX 78414
Phone (361) 992-3873

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1689030876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 SARATOGA BLVD",
            "address_2": "BLDG 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "361-992-3873",
            "fax_number": "361-992-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 SARATOGA BLVD",
            "address_2": "BLDG 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "361-992-3873",
            "fax_number": "361-992-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. BRYAN GULLEY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER / ORAL SURGEON",
        "authorized_official_telephone_number": "361-992-3873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 11, 2021; 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.