Organization Active NPI

Lawrence E Nelson DO PLLC

  • Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1851834857
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q2352 Issued in TX
Legal business name
LAWRENCE E NELSON DO PLLC
Practice address
2606 Hospital Blvd
Corpus Christi, TX 78405-1833
Phone
(361) 985-1221
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Jackie Brannigan
Title
Credentialing Specialist
Phone
(361) 985-1221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Q2352 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd
Corpus Christi, TX 78405-1833

Mailing address

PO Box 6696
Corpus Christi, TX 78466-6696
Phone (361) 985-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170210000525 TX Part B Supplier - Clinic/Group Practice 3476836719 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1851834857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6696",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666696",
            "telephone_number": "361-985-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051833",
            "telephone_number": "361-985-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE E NELSON DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "BRANNIGAN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "361-985-1221"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q2352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.