Active NPI
Bronte D Baker OD Inc
- Optometrist
- Beeville, TX
National Provider Identifier
1710146493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2224TG
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00E98A | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| 093501701 | Medicaid | TX | |
| 410011275 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Charleston, SC
- NPI 1346294139
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
- Trudy Ann Bird, M S LPC-S
- Rosemary F Blocker, COTA
- Charles William Bode Jr.
- Brenda Stockton Bond, MED, LPC-S
- Brazos Carinosos Inc (dba Parkview Adult Healthcare & Activity Center)
- Claudia W Bullard, LPT
- C H Wilkinson Physician Network (Christus Spohn Medical Group Beeville Medical)
- C H Wilkinson Physician Network
- Francisco J Calica, MD
- Yessenia Cantos, NP
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.