| NPI | 1164638920 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-05-15 |
| Last Updated | 2024-09-25 |
| Mailing Address | 2700 Hospital Drive, Suite 101 Victoria, TX 77901 United States Phone: (361) 576-3338 📍 View Map |
| Primary Practice Address | 909 N Navarro St Victoria, TX 77901-6734 United States Phone: (361) 576-2111 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MN | 091925100 | — |
| Other (non-Medicare) | MN | 139511 | UCare MN |
| Other (non-Medicare) | MN | 397D3EB | BCBS MN |
| MEDICAID | WI | 43242500 | — |
| Other (non-Medicare) | MN | HP79563 | Health Partners |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 213E00000X – Podiatrist | MN | 778 |
| Yes | 213ES0103X – Podiatrist, Foot & Ankle Surgery | TX | 3097 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1164638920
Matthew Robert Eberly DPM is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164638920. The primary specialty listed is Podiatrist, Foot & Ankle Surgery. The provider is located in Victoria, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164638920?
NPI 1164638920 belongs to Matthew Robert Eberly DPM, a Podiatrist, Foot & Ankle Surgery in Victoria, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164638920 active?
The current status of NPI 1164638920 in the NPPES registry is Active. The record was last updated on 2024-09-25.
What specialty is NPI 1164638920?
NPI 1164638920 is classified under the taxonomy Podiatrist, Foot & Ankle Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164638920?
You can verify NPI 1164638920 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164638920?
The primary practice address on file for NPI 1164638920 is 909 N Navarro St, Victoria, TX 77901-6734. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164638920 issued?
NPI 1164638920 was first issued (enumerated) on 2007-05-15. The NPPES record was last updated on 2024-09-25.
Practice Location Map
Matthew Robert Eberly is located at 909 N Navarro St, Victoria, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Matthew Robert Eberly. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164638920. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Podiatrist | 778 | MN |
| Podiatrist, Foot & Ankle Surgery | 3097 | TX |