Michael G. Phillips, SUB IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2621 Las Brisas St
Corpus Christi, TX 78414-5014

Phone

(559) 362-4304

NPI assigned

Feb 9, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1689970535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 LAS BRISAS ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784145014",
            "telephone_number": "559-362-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 LAS BRISAS ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784145014",
            "telephone_number": "559-362-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "SUB IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Thomas Philips Jr., D.D.S.
• Penny Leigh Phillips-Deines, DPM
• Kelly Elizabeth Phillips-Martinez, FNP
• Jacqueline Marie Phillips, D.O.
• Kristi Ann Phillips, MA, LMFT
• Samantha Phillips
• Sarah Elise Phillips, CCC-SLP
• Phoenix Rising Wellness Center of Corpus Christi, PLLC
• Physical Therapy Services, Inc.
• Physical Therapy-Pediatric Therapy Associates PLLC

• Independent Duty Corpsman in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Independent Duty Corpsman in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.