CENTRAL TEXAS HEART CENTER – NPI #1871666271
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CENTRAL TEXAS HEART CENTER is a provider located in BRYAN, TX. NPPES has assigned the NPI number 1871666271 to CENTRAL TEXAS HEART CENTER on November 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CENTRAL TEXAS HEART CENTER is also known by the name PROF ASSOCIATION. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 13 years ago on Apr 25, 2013. 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 CENTRAL TEXAS HEART CENTER below.

NPI Profile for
CENTRAL TEXAS HEART CENTER

NPI Number
1871666271
Enumeration Date

(more than 19 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
CENTRAL TEXAS HEART CENTER
Other Name: PROF ASSOCIATION
Primary location
2700 E 29TH STREET
SUITE 220
BRYAN, TX 77802-2586
Phone: (979) 774-4008 Fax: (979) 774-7893
Mailing address
2700 E 29TH ST
SUITE 220
BRYAN, TX 77802-2531
Phone: (979) 774-4008 Fax: (979) 774-7893
Organization Subpart
No
Authorized Official
KENNON WIGLEY
PHYSICIAN
Phone: (979) 774-4008
Updated
Identifiers

Identifiers for CENTRAL TEXAS HEART CENTER

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
OTHERRAILROAD MEDICARECD6802
MEDICAIDTX082010201
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (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.