COASTAL BEND FAMILY MEDICINE, P.A.
NPI 1629062179
Family Medicine in Corpus Christi, TX

Active since September 09, 2005CLIA 45D2049779 · Microscopy
4818 HOLLY RD, SUITE A, CORPUS CHRISTI, TX 78411(361) 993-1747(361) 993-1748 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Bend Family Medicine, P.a. NPPES

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

COASTAL BEND FAMILY MEDICINE, P.A. (NPI 1629062179) is a healthcare organization registered as a family medicine in Corpus Christi, Texas and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through November 13, 2026 and lists David Loyd Vanderheiden, President, as its authorized official.

NPPES Registry Identity

NPI1629062179
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL BEND FAMILY MEDICINE, P.A.
Location Address4818 HOLLY RD, SUITE ACorpus Christi, TX 78411-4734
Mailing Address4818 Holly Rd, Suite ACorpus Christi, TX 78411-4734 · (361) 993-1747 · Fax (361) 993-1748
Fax(361) 993-1748
Organization SubpartNo
Authorized OfficialDavid Loyd VanderheidenPresident · (361) 993-1747
Enumeration DateSeptember 9, 2005
Last NPPES UpdateMarch 8, 2017
NPI 1629062179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · H8480
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4818 HOLLY RD, Corpus Christi, TX 78411

Other Identifiers 3

Other00K51QTX · Blue Cross Blue Shield
Other00K51QTX · Medicare
Medicaid109485601TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 45D2049779

Coastal Bend Family Medicine PA · Corpus Christi, TX
Active · expires Nov 13, 2026
CLIA Number45D2049779
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDavid L. Vanderheiden
Laboratory Phone(361) 993-1747
Laboratory LocationCoastal Bend Family Medicine PA4818 Holly Road Suite A, Corpus Christi, TX 78411
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

Family Medicine
4818 HOLLY RD
CORPUS CHRISTI, TX 78411
Family Medicine
4818 HOLLY RD, STE A
CORPUS CHRISTI, TX 78411
Family Medicine
4818 HOLLY RD, SUITE A
CORPUS CHRISTI, TX 78411
Dentist
4818 HOLLY RD
CORPUS CHRISTI, TX 78411
Family Medicine
4818 HOLLY RD, SUITE A
CORPUS CHRISTI, TX 78411

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 Coastal Bend Family Medicine, P.A.'s NPI number?

The NPI number for Coastal Bend Family Medicine, P.A. is 1629062179. It was assigned to this organization in the NPPES registry on September 9, 2005.

Where is Coastal Bend Family Medicine, P.A. located?

Coastal Bend Family Medicine, P.A. is located at 4818 Holly Rd Suite A, Corpus Christi, TX 78411. The listed phone number is (361) 993-1747.

What is Coastal Bend Family Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Coastal Bend Family Medicine, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2049779) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Bend Family Medicine, P.A. was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.