Active NPI
James M Kirby, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bryan, TX
National Provider Identifier
1861458804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- E8632
- Practice address
- 2700 E 29TH St Ste 105
Bryan, TX 77802-2507 - Phone
- (979) 776-0750
- Fax
- (979) 774-0001
- NPI assigned
- Apr 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | E8632 | TX | Primary |
Addresses
Primary practice location
2700 E 29TH St Ste 105
Bryan, TX 77802-2507
Mailing address
2700 E 29TH St Ste 105
Bryan, TX 77802-2507
Phone (979) 776-0750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105553502 | 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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cardiovascular Surgery of Brazos Valley
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bryan, TX
- NPI 1861561623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1861458804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E 29TH ST STE 105",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022507",
"telephone_number": "979-776-0750",
"fax_number": "979-774-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 29TH ST STE 105",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022507",
"telephone_number": "979-776-0750",
"fax_number": "979-774-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "E8632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105553502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.