NPIMap

Organization Active NPI

Nevin Anderson MD PA

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1770545741
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E0785
Legal business name
NEVIN ANDERSON MD PA
Practice address
301 E Airline
Victoria, TX 77901-3901
Phone
(361) 573-6371
Fax
(361) 573-7961
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Conde Nevin Anderson Jr., MDNPI 1073710828
Title
President
Phone
(361) 573-6371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E0785 Primary

Addresses

Primary practice location

301 E Airline
Victoria, TX 77901-3901

Mailing address

PO Box 4286
301 E Airline
Victoria, TX 77901-3901
Phone (361) 573-6371

Other identifiers 1

IdentifierTypeStateIssuer
0075JFOtherBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1770545741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4286",
            "address_2": "301 E AIRLINE",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013901",
            "telephone_number": "361-573-6371",
            "fax_number": "361-573-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E AIRLINE",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013901",
            "telephone_number": "361-573-6371",
            "fax_number": "361-573-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVIN ANDERSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CONDE",
        "authorized_official_middle_name": "NEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-573-6371",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "E0785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0075JF",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.