NPIMap

Organization Active NPI

Bluebonnet OB GYN

Doing business as Smithville Regional Hospital Authority

  • Obstetrics Physician
  • Bastrop, TX
National Provider Identifier
1790900355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
BLUEBONNET OB GYN
Doing business as
Smithville Regional Hospital Authority
Practice address
81 Loop 150 W
Bastrop, TX 78602-3930
Phone
(512) 308-9100
Fax
(512) 308-9101
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Noralene Corder
Title
Cfo
Phone
(512) 237-3214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X NU Primary

Addresses

Primary practice location

81 Loop 150 W
Bastrop, TX 78602-3930

Mailing address

81 Loop 150 W
Bastrop, TX 78602-3930
Phone (512) 308-9100

Other names 1

  • SMITHVILLE REGIONAL HOSPITAL AUTHORITY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smithville Regional Hos9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

81 Loop 150 W
Bastrop, TX 78602
Phone (512) 308-9100

Practitioners & affiliated clinicians

Practitioners 2

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790900355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 LOOP 150 W",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023930",
            "telephone_number": "512-308-9100",
            "fax_number": "512-308-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 LOOP 150 W",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023930",
            "telephone_number": "512-308-9100",
            "fax_number": "512-308-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDER",
        "authorized_official_first_name": "NORALENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-237-3214"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITHVILLE REGIONAL HOSPITAL AUTHORITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.