Healthcare Provider Details

I. General information

NPI: 1528694338
Provider Name (Legal Business Name): JOSEPH THOMAS MERFELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2020
Last Update Date: 06/29/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 FORT RICHARDSON AVE # TX
GOODFELLOW AFB TX
76908-4901
US

IV. Provider business mailing address

271 FORT RICHARDSON AVE
GOODFELLOW AFB TX
76908-4901
US

V. Phone/Fax

Practice location:
  • Phone: 325-654-3072
  • Fax:
Mailing address:
  • Phone: 850-291-4427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number0101273005
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0101273005
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: