Organization Active NPI

Bronte D Baker OD Inc

  • Optometrist
  • Beeville, TX
National Provider Identifier
1710146493
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2224TG Issued in TX
Legal business name
BRONTE D BAKER OD INC
Practice address
1209 N St Marys Street
Beeville, TX 78102
Phone
(361) 358-3218
Fax
(361) 358-3281
NPI assigned
Jun 6, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Bronte D Baker, OD
Title
Owner
Phone
(361) 358-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2224TG TX Primary

Addresses

Primary practice location

1209 N St Marys Street
Beeville, TX 78102

Mailing address

1209 N St Marys Street
Beeville, TX 78102
Phone (361) 358-3218

Other identifiers 3

IdentifierTypeStateIssuer
00E98AOtherTXBLUE CROSS BLUE SHIELD OF TEXAS
093501701MedicaidTX
410011275OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1209 N Saint Marys St
Beeville, TX 78102
Phone (361) 358-3218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1710146493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N ST MARYS STREET",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "78102",
            "telephone_number": "361-358-3218",
            "fax_number": "361-358-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N ST MARYS STREET",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "78102",
            "telephone_number": "361-358-3218",
            "fax_number": "361-358-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONTE D BAKER OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRONTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-358-3218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2224TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "00E98A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093501701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410011275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.