Organization Active NPI

Wifi Medical LLC

Doing business as Campus Gastroenterology

  • Gastroenterology Physician
  • Bryan, TX
National Provider Identifier
1992384382
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
WIFI MEDICAL LLC
Doing business as
Campus Gastroenterology
Practice address
3201 University Dr E Ste 320
Bryan, TX 77802-3478
Phone
(970) 330-7140
NPI assigned
Apr 5, 2021
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Ben Joseph ElizondoNPI 1831109909
Title
Manager
Phone
(979) 330-7140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X

Addresses

Primary practice location

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

Mailing address

3201 University Dr E Ste 320
Bryan, TX 77802-3478
Phone (979) 330-7140

Other names 1

  • Campus Gastroenterology Doing business as

National Provider Directory

National Provider Directory

Locations

29250 Old Fredericksburg Rd
#R
Boerne, TX 78015
Phone (210) 267-1197

29250 Old Fredericksburg Rd
Ste 105
Boerne, TX 78015
Phone 2102671197101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.