Individual provider Active NPI

Andrew John McDermott, M.D.

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1972823185
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.33729 Issued in AL
Practice address
10651 E St BLDG 100
Corpus Christi, TX 78419-5130
Phone
(361) 961-6050
NPI assigned
Jun 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.33729 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

10651 E St BLDG 100
Corpus Christi, TX 78419-5130

Mailing address

10651 E St BLDG 100
Corpus Christi, TX 78419-5130

Other practice location 1

USNH Guam
Bldg #50 Farenholt Ave
Agana Heights, GU 96910-0000
Phone (671) 344-9696

Other practice location 2

Building H-1 Caravella Place
Fpo, AE 09589
Phone (251) 610-3206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20140402001239 GU Order and Referring Only - Family PracticePractitioner - Family Practice 0840471710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.33729ALMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1972823185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 E ST BLDG 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 E ST BLDG 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195130",
            "telephone_number": "361-961-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "USNH Guam",
            "address_2": "Bldg #50 Farenholt Ave",
            "address_purpose": "LOCATION",
            "city": "Agana Heights",
            "state": "GU",
            "postal_code": "969100000",
            "country_code": "US",
            "telephone_number": "671-344-9696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Building H-1 Caravella Place",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09589",
            "country_code": "US",
            "telephone_number": "251-610-3206",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.33729",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.