BONITA CREEK EMERGENCY SERVICES PLLC – NPI #1902555485
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

BONITA CREEK EMERGENCY SERVICES PLLC is a provider located in NACOGDOCHES, TX. NPPES has assigned the NPI number 1902555485 to BONITA CREEK EMERGENCY SERVICES PLLC on March 22, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 3 years ago on Jan 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BONITA CREEK EMERGENCY SERVICES PLLC below.

NPI Profile for
BONITA CREEK EMERGENCY SERVICES PLLC

NPI Number
1902555485
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BONITA CREEK EMERGENCY SERVICES PLLC
Primary location
1204 N MOUND ST
NACOGDOCHES, TX 75961-4027
Phone: (936) 564-4611 Fax:
Mailing address
638A N UNIVERSITY DR # 184
NACOGDOCHES, TX 75961-4617
Phone: Fax:
Organization Subpart
No
Authorized Official
ADAM CORLEY
PRESIDENT
Phone: (337) 277-6355
Updated
Certification Date
Jan 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BONITA CREEK EMERGENCY SERVICES PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAIDTX12345
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.