Individual provider Active NPI

Bay Van Nguyen, MD

  • General Practice Physician
  • Nassau Bay, TX
National Provider Identifier
1811975477
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E8762 Issued in TX
Practice address
2060 Space Park Dr
#114
Nassau Bay, TX 77058-3600
Phone
(281) 333-4556
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E8762 TX
General Practice Physician 208D00000X E8762 TX Primary

Addresses

Primary practice location

2060 Space Park Dr
#114
Nassau Bay, TX 77058-3600

Mailing address

2060 Space Park Dr
#114
Nassau Bay, TX 77058-3600
Phone (281) 333-4556

Other identifiers 2

IdentifierTypeStateIssuer
10014783OtherAMERIGROUP
111803601MedicaidTX

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
I20091210000074 TX Practitioner - General Practice 6103965892 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Texas Medical School at San Antonio, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2045 Space Park Dr
Houston, TX 77058-6305
Phone (281) 333-4556

Hospital & facility affiliations

  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8762TXMDPediatrics Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1811975477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 SPACE PARK DR",
            "address_2": "#114",
            "city": "NASSAU BAY",
            "state": "TX",
            "postal_code": "770583600",
            "telephone_number": "281-333-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 SPACE PARK DR",
            "address_2": "#114",
            "city": "NASSAU BAY",
            "state": "TX",
            "postal_code": "770583600",
            "telephone_number": "281-333-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAY",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E8762",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E8762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10014783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111803601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nassau Bay, TX

Sources for this page

Verify at the official NPI Registry.