Active NPI
Valerie Rundle-Gonzalez, MD
- Neurology Physician
- West Lake Hills, TX
National Provider Identifier
1841420858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- Q4510
- Practice address
- 4201 Bee Caves Rd Ste C213
West Lake Hills, TX 78746-6458 - Phone
- (512) 960-4717
- Fax
- (855) 868-9882
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME 116784 | FL | |
| Neurology Physician | 2084N0400X | Q4510 | TX | Primary |
Addresses
Primary practice location
4201 Bee Caves Rd Ste C213
West Lake Hills, TX 78746-6458
Mailing address
4201 Bee Caves Rd Ste C213
West Lake Hills, TX 78746-6458
Phone (512) 960-4717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009790800 | Medicaid | FL |
Other names 1
- Valerie Rundle Gonzalez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 5, 2018 through Oct 5, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 116784 | FL | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1841420858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 BEE CAVES RD STE C213",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466458",
"telephone_number": "512-960-4717",
"fax_number": "855-868-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 BEE CAVES RD STE C213",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466458",
"telephone_number": "512-960-4717",
"fax_number": "855-868-9882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNDLE-GONZALEZ",
"first_name": "VALERIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-24",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME 116784",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "Q4510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009790800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "RUNDLE GONZALEZ",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.