Mark Robert Coffman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E6286 Issued in TX

Practice address

3811 Sagebriar Drive
Bryan, TX 77802-6107

Phone

(979) 774-0498

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Retina Center P a

  • Ophthalmology Physician
  • Bryan, TX
  • NPI 1922006246
  NPD (past)
• Texas Regional Eye Center PLLC

  • Ophthalmology Physician
  • Bryan, TX
  • NPI 1790855898
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710080759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 AUGUSTA CIRCLE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458983",
            "telephone_number": "979-690-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 SAGEBRIAR DRIVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778026107",
            "telephone_number": "979-774-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E6286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "8R9480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cliff Walker Chiropractic, PC
• Clinical Neuroscience Services PLLC
• Kenneth R Close, MD
• Cory Lamoine Cobb, PHD
• Jeffrey D Cochran Jr., M.D.
• Allison Morgan Coil, CRNA
• Fernando Jose Colato Zavaleta
• Jane Colbert
• Samuel David Colby, OTD, OTR/L, CSCS
• Charles Cole, DO

• Ophthalmology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.