NPIMap

Organization Active NPI

Amarillo Area Healthcare Specialist

  • Internal Medicine Physician
  • Amarillo, TX
National Provider Identifier
1811024474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H6071 Issued in TX
Legal business name
AMARILLO AREA HEALTHCARE SPECIALIST
Practice address
1600 S Coulter St
C302
Amarillo, TX 79106-1710
Phone
(806) 354-2213
Fax
(806) 534-2112
NPI assigned
Feb 28, 2007
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
Dr. Walter J Bridges, MDNPI 1750397865
Title
Medical Director
Phone
(806) 354-2213

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X H6071 TX Primary

Addresses

Primary practice location

1600 S Coulter St
C302
Amarillo, TX 79106-1710

Mailing address

1600 S Coulter St
C302
Amarillo, TX 79106-1710
Phone (806) 354-2213

National Provider Directory

National Provider Directory

Locations

1600 S Coulter St
#C302
Amarillo, TX 79106
Phone (806) 354-2213

Practitioners & affiliated clinicians

Practitioners 5

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811024474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "C302",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-354-2213",
            "fax_number": "806-534-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "C302",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-354-2213",
            "fax_number": "806-534-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO AREA HEALTHCARE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "806-354-2213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H6071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, 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.