Individual provider Active NPI

Nathaniel Jefferson Alford Jr., MD

  • Pulmonary Disease Physician
  • Beaumont, TX
National Provider Identifier
1902891187
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
F1337 Issued in TX
Practice address
3030 North St
Suite 510
Beaumont, TX 77702-1433
Phone
(409) 896-5000
Fax
(409) 896-5926
NPI assigned
Sep 14, 2005
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X F1337 TX
Pulmonary Disease Physician 207RP1001X F1337 TX Primary

Addresses

Primary practice location

3030 North St
Suite 510
Beaumont, TX 77702-1433

Mailing address

3030 North St
Suite 510
Beaumont, TX 77702-1433
Phone (409) 896-5000

Other identifiers 1

IdentifierTypeStateIssuer
P082Z1114MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000448 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7315859089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Texas Medical Branch at Galveston, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Texas Intensivists, PLLCGroup PAC ID 7810342672, 37 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Intensivists, PLLC Critical Care Medicine CurrentSince Oct 13, 2023 Accepting new patients
Jefferson Intensivist Group PA Critical Care Medicine CurrentSince Nov 1, 2021 Accepting new patients
Southeast Texas Intensivists, PLLC Critical Care Medicine CurrentSince Sep 1, 2023 Accepting new patients
Christus Health Southeast Texas Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

2830 Calder St
Fl 4
Beaumont, TX 77702
Phone (409) 899-5156

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1902891187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NORTH ST",
            "address_2": "SUITE 510",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021433",
            "telephone_number": "409-896-5000",
            "fax_number": "409-896-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTH ST",
            "address_2": "SUITE 510",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021433",
            "telephone_number": "409-896-5000",
            "fax_number": "409-896-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "NATHANIEL",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "F1337",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "F1337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P082Z1114",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.