Individual provider Active NPI

Murray M Colgin, MD

  • Internal Medicine Physician
  • Kerrville, TX
National Provider Identifier
1710987383
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G8811 Issued in TX
Practice address
703 Hill Country Dr
Suite301
Kerrville, TX 78028-6159
Phone
(830) 895-7676
Fax
(830) 792-9637
NPI assigned
Jul 26, 2005
Last updated
Nov 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G8811 TX Primary

Addresses

Primary practice location

703 Hill Country Dr
Suite301
Kerrville, TX 78028-6159

Mailing address

703 Hill Country Dr
Suite 301
Kerrville, TX 78028-6441
Phone (830) 895-7676

Other identifiers 4

IdentifierTypeStateIssuer
131135906MedicaidTX
1311359-07OtherTXMEDICARE
1859175011OtherTXMEDICAID GROUP
1859175-01OtherTXMEDICARE GROUP

Other names 1

  • Murray M Colgin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326000783 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1153378161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G8811TXMDInternal Medicine Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1710987383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 HILL COUNTRY DR",
            "address_2": "SUITE 301",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286441",
            "telephone_number": "830-895-7676",
            "fax_number": "830-792-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 HILL COUNTRY DR",
            "address_2": "SUITE301",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286159",
            "telephone_number": "830-895-7676",
            "fax_number": "830-792-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGIN",
        "first_name": "MURRAY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G8811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131135906",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1311359-07",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "1859175011",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "1859175-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MURRAY",
            "last_name": "COLGIN",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.