NPIMap

Organization Active NPI

Dewitt Medical District

Doing business as Bohman Clinic

  • Family Medicine Physician
  • Cuero, TX
National Provider Identifier
1740614023
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DEWITT MEDICAL DISTRICT
Doing business as
Bohman Clinic
Practice address
2500 N Esplanade St
Suite 101
Cuero, TX 77954-4723
Phone
(361) 275-3561
Fax
(361) 275-9287
NPI assigned
Aug 22, 2013
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
DEWITT MEDICAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Greg S Pritchett
Title
Chief Financial Officer
Phone
(361) 275-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2500 N Esplanade St
Suite 101
Cuero, TX 77954-4723

Mailing address

2550 N Esplanade St
Cuero, TX 77954-4736
Phone (361) 275-6191

Other names 1

  • BOHMAN CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goliad Family Practice28 organizations share this tax ID, including this one
Part of
Goliad Family Practice

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1740614023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 N ESPLANADE ST",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779544736",
            "telephone_number": "361-275-6191",
            "fax_number": "361-275-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N ESPLANADE ST",
            "address_2": "SUITE 101",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779544723",
            "telephone_number": "361-275-3561",
            "fax_number": "361-275-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT MEDICAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEWITT MEDICAL DISTRICT",
        "enumeration_date": "2013-08-22",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "361-275-6191"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOHMAN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuero, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.