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PROMONTORY GERIATRICS LLC
NPI 1194044792
Internal Medicine in Desoto, TX

Active since May 20, 2010CLIA 45D2067333 · Waiver
2727 BOLTON BOONE DR STE 114, DESOTO, TX 75115(469) 857-3142(469) 857-3077 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Promontory Geriatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMONTORY GERIATRICS LLC (NPI 1194044792) is a healthcare organization registered as an internal medicine in Desoto, Texas and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Gene O Bigham, Managing Officer, as its authorized official.

NPPES Registry Identity

NPI1194044792
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROMONTORY GERIATRICS LLC
Location Address2727 BOLTON BOONE DR STE 114Desoto, TX 75115-2019
Mailing Address2727 Bolton Boone Dr Ste 114Desoto, TX 75115-2019 · (469) 857-3142 · Fax (469) 857-3077
Phone(469) 857-3142
Fax(469) 857-3077
Organization SubpartNo
Authorized OfficialGene O BighamManaging Officer · (469) 857-3142
Enumeration DateMay 20, 2010
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1194044792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J6337
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
2727 BOLTON BOONE DR STE 114, Desoto, TX 75115
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2067333

Promontory Geriatrics · Desoto, TX
Active · expires Oct 13, 2027
CLIA Number45D2067333
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorGene O. Bigham
Laboratory Phone(469) 857-3142
Laboratory LocationPromontory Geriatrics2727 Bolton Boone Dr, Ste 114, Desoto, TX 75115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUZANA CHAU TRAN FNP
Nurse Practitioner (Family)
2727 BOLTON BOONE DR STE 114
DESOTO, TX 75115
Dallas County (469) 857-3142
GENE O. BIGHAM M.D.
Internal Medicine
2727 BOLTON BOONE DR STE 114
DESOTO, TX 75115
Dallas County (469) 857-3142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Promontory Geriatrics LLC's NPI number?

The NPI number for Promontory Geriatrics LLC is 1194044792. It was assigned to this organization in the NPPES registry on May 20, 2010.

Where is Promontory Geriatrics LLC located?

Promontory Geriatrics LLC is located at 2727 Bolton Boone Dr Ste 114, Desoto, TX 75115. The listed phone number is (469) 857-3142.

What is Promontory Geriatrics LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Promontory Geriatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2067333) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Promontory Geriatrics LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Promontory Geriatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Promontory Geriatrics LLC was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.