Individual provider Active NPI

Thomas Nguyen, M.D.

  • Emergency Medicine Physician
  • Rockport, TX
National Provider Identifier
1942280763
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K3808 Issued in TX
Practice address
1325 Broadway St
Rockport, TX 78382-3333
Phone
(361) 729-0646
Fax
(361) 729-8854
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K3808 TX Primary
Surgery Physician 208600000X K3808 TX

Addresses

Primary practice location

1325 Broadway St
Rockport, TX 78382-3333

Mailing address

1325 Broadway St
Rockport, TX 78382-3333
Phone (361) 729-0646

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
I20090624000622 TX Practitioner - Emergency Medicine 3476604851 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3808TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CC Doctors Center Portland, PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Nueces Emergency Services, PA Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Calallen Minor Emergency Center, PA Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Twin Fountains Urgent Care Center Past Accepting new patients

Locations

4637 Spid Dr
Corpus Christi, TX 78411
Phone (361) 452-5632

11559 Leopard St
Corpus Christi, TX 78410
Phone (361) 241-1116

125 Northshore Blvd
Portland, TX 78374
Phone (361) 480-0334

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1942280763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BROADWAY ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823333",
            "telephone_number": "361-729-0646",
            "fax_number": "361-729-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BROADWAY ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823333",
            "telephone_number": "361-729-0646",
            "fax_number": "361-729-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K3808",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K3808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

Verify at the official NPI Registry.