ALFONSO IVAN GONZALEZ M.D. NPI 1386606721

NPI Information

  • NPI: 1386606721
  • Provider Name: ALFONSO IVAN GONZALEZ, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 BERNICE AVE
    ODESSA, TX
    ZIP 79763
  • Phone: (432) 333-1300

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NPI Details

Alfonso Ivan Gonzalez, M.D. is a family medicine in Odessa, TX with 25 years of experience. The provider is 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. Alfonso Ivan Gonzalez, M.D. NPI is 1386606721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 BERNICE AVE
ODESSA, TX
ZIP 79763-226
Phone: (432) 333-1300
Fax: (432) 333-1306

The NPI 1386606721 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • X-ray of chest, 1 view (HCPCS:71045)

The enumeration date for this NPI number is 4/3/2006 and was last updated on 12/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD2005-0515NEW MEXICONo
2207P00000XEmergency MedicineM3815TEXASNo
3207Q00000XFamily MedicineMD2005-0515NEW MEXICONo
4207Q00000XFamily MedicineM3815TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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