Active NPI
Gordon Robert Welch Jr., MD
- Urology Physician
- Corpus Christi, TX
National Provider Identifier
1841283322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D9718
- Practice address
- 601 Texan TRL
Suite 100
Corpus Christi, TX 78411-2548 - Phone
- (361) 884-8631
- Fax
- (361) 882-7716
- NPI assigned
- Aug 30, 2005
- Last updated
- Aug 5, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | D9718 | TX | Primary |
Addresses
Primary practice location
601 Texan TRL
Suite 100
Corpus Christi, TX 78411-2548
Mailing address
601 Texan TRL
Suite 100
Corpus Christi, TX 78411-2547
Phone (361) 884-8631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P 08792833 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1841283322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 TEXAN TRL",
"address_2": "SUITE 100",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112547",
"telephone_number": "361-884-8631",
"fax_number": "361-882-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 TEXAN TRL",
"address_2": "SUITE 100",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112548",
"telephone_number": "361-884-8631",
"fax_number": "361-882-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "GORDON",
"middle_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "D9718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P 08792833",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
- Abigail Weisenburger, MD
- Charlotte Naomi Weiss, LMSW-ACP
- Stormy Nicholas Weiss
- Todd M Weiss, M.D.
- David John Weist, M.D.
- Somer Jean Welch, MPSA, MSW, LCSW
- Adlai E Welfel, LM
- Well Care Occupational Clinics PA
- Wellmed Medical Group, P.a. (WellMed Shoreline Senior Clinic)
- Wellmed Medical Group, P.a. (WellMed Holly Road Senior Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.