Unknown Individual – Emergency Medicine Physician, NPI 1356312326

Unknown Individual is a healthcare provider. based in Rockport, Texas. specializing in Emergency Medicine Physician. They hold a License No. J1394 (TX). The NPI Number for Unknown Individual is 1356312326

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356312326
Phone
(936) 291-4589
Address
1325 BROADWAY ST
Deactivation Date
8 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1325, Broadway Street, Key Allegro, Rockport, Aransas County, Texas, 78382, United States

    ROCKPORT, TX 783823333

    Phone: (936) 291-4589

    Type: Location

  • 5350, Leonard Road, Bryan, Brazos County, Texas, 77807, United States

    BRYAN, TX 778079570

    Phone: (979) 822-4278

    Fax: (979) 822-0488

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78382)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1356312326 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Rockport?
Unknown Individual currently maps to Rockport, Texas in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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