Wifi Medical LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

WIFI MEDICAL LLC

Practice address

3201 University Dr E Ste 320
Bryan, TX 77802-3478

Phone

(970) 330-7140

NPI assigned

Apr 5, 2021

Organization subpart

No

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

Authorized official

Name

Ben Joseph Elizondo

Title

Manager

Phone

(979) 330-7140

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Campus Gastroenterology Doing business as

Locations

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1992384382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 320",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023478",
            "telephone_number": "979-330-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 320",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023478",
            "telephone_number": "970-330-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIFI MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "979-330-7140"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1831109909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wade W Whitmer, M.D.
• Andrew G Whitmire, MD
• Whole Vision PA
• Tyler Wiatrek, LAT, ATC
• Kelley Wiederhold, LPC-ASSOCIATE
• Grace Marie Wightman, MED
• Kennon D Wigley, MD
• Wilbea Medical Equipment LLC
• Lisa Anne Wildmo, AU.D.
• Keith Michael Wiley, RPH

• Gastroenterology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.