Promontory Geriatrics LLC
NPI 1194044792ActiveOrganization· Internal Medicine· Desoto, TX
Internal Medicine in Desoto, Texas, registered in NPPES in May 2010. The authorized official on file is Gene O. Bigham, Managing Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194044792 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2010 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | J6337 | TX |
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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