DR. BRYAN G CORUM (NPI# 1184651424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184651424 |
| Entity Type | Individual |
| Full Name | DR. BRYAN G CORUM |
| Credential | D.P.M. |
| Practice Address |
613 Elizabeth St Ste 200 Corpus Christi TX 78404-2221 |
| Practice Telephone | 3618845900 |
| Practice Fax Number | 3618845910 |
| Mailing Telephone | 3618845900 |
| Mailing Fax Number | 3618845910 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1505 | TX | Podiatric Medicine & Surgery Service Providers |
| Street Address |
613 ELIZABETH ST STE 200 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306994686 | Complete Podiatry PC | Podiatrist | 613 Elizabeth St Ste 200, Corpus Christi, TX 78404-2221 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629477112 | Jeanny Rickards | Podiatrist | 7121 Spid Dr Ste 106, Corpus Christi, TX 78412-4939 | 2014-08-20 |
| 1487965166 | South Texas Limb & Wound Care Center Inc | Podiatrist | 3130 S Alameda St, Corpus Christi, TX 78404-2506 | 2010-06-28 |
| 1962656728 | Serei Y. Lee, Dpm Pa | Podiatrist | 2601 Hospital Blvd Ste 106, Corpus Christi, TX 78405-1885 | 2008-11-06 |
| 1033142336 | Christian M Dickson | Podiatrist | 5920 Saratoga Blvd Ste 510, Corpus Christi, TX 78414-4118 | 2006-07-09 |
| 1417952938 | Carl H Aeby | Podiatrist | 1224 3rd St, Ste 7, Corpus Christi, TX 78404-2354 | 2005-06-21 |
| 1457910010 | Jeanny Rickards Dpm, Pllc | Podiatrist | 7121 Spid Dr Ste 106, Corpus Christi, TX 78412-4939 | 2019-06-07 |
| 1235636721 | Bradley Lawrence | Podiatrist | 3301 S Alameda St Ste 306, Corpus Christi, TX 78411-1876 | 2018-04-10 |
| 1679739742 | Candice Nicole Escalea | Podiatrist | 1215 Santa Fe St, Corpus Christi, TX 78404-2338 | 2008-07-29 |
| 1700057163 | Glenn R Miller Dpm | Podiatrist | 7101 S Staples St, Suite 103, Corpus Christi, TX 78413-5542 | 2008-03-13 |
| 1306994686 | Complete Podiatry PC | Podiatrist | 613 Elizabeth St Ste 200, Corpus Christi, TX 78404-2221 | 2007-01-05 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
Please comment or provide details below to improve the information on DR. BRYAN G CORUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.