NPI 1992794879 · live from the CMS NPI Registry
Clayton Bert Alexander, D.O.
Family Medicine in La Porte, IN. National Provider Identifier 1992794879, active.
NPI record
| NPI | 1992794879 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 125 East Shore Parkway, Suite D, La Porte, IN 46350 |
| Practice phone | 219-325-0155 |
| Enumerated | October 14, 2005 |
| Last updated | December 8, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 02001107A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.