Active NPI
David Christian Swope Nickeson, MD
- Pulmonary Disease Physician
- Texas City, TX
National Provider Identifier
1831151208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- F3261
- Practice address
- 6807 Emmett F Lowry Expressway
Suite 303
Texas City, TX 77591-2543 - Phone
- (409) 935-2995
- Fax
- (409) 935-3433
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | F3261 | TX | |
| Pulmonary Disease Physician | 207RP1001X | F3261 | TX | Primary |
Addresses
Primary practice location
6807 Emmett F Lowry Expressway
Suite 303
Texas City, TX 77591-2543
Mailing address
6807 Emmett F Lowry Expressway
Suite 303
Texas City, TX 77591-2543
Phone (409) 935-2995
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127944006 | Medicaid | TX | |
| 8R3390 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3261 | TX | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1831151208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6807 EMMETT F LOWRY EXPRESSWAY",
"address_2": "SUITE 303",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775912543",
"telephone_number": "409-935-2995",
"fax_number": "409-935-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6807 EMMETT F LOWRY EXPRESSWAY",
"address_2": "SUITE 303",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775912543",
"telephone_number": "409-935-2995",
"fax_number": "409-935-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKESON",
"first_name": "DAVID",
"middle_name": "CHRISTIAN SWOPE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "F3261",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "F3261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127944006",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8R3390",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Texas City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.