Active NPI
Egyptian Doberman, PLLC
- Clinical Neurophysiology Physician
- Austin, TX
National Provider Identifier
1073057428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- EGYPTIAN DOBERMAN, PLLC
- Practice address
- 7421 Burnet Rd # 155
Austin, TX 78757-2244 - Phone
- (512) 652-5495
- NPI assigned
- Dec 5, 2016
- Last updated
- Dec 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caset West
- Title
- Manager
- Phone
- (512) 652-5495
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | ||
| Clinical Neurophysiology Physician | 2084N0600X | NU | Primary | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | NU | ||
| Electrodiagnostic Medicine Physician | 204R00000X | NU |
Addresses
Primary practice location
7421 Burnet Rd # 155
Austin, TX 78757-2244
Mailing address
7421 Burnet Rd # 155
Austin, TX 78757-2244
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480896000000",
"number": "1073057428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 BURNET RD # 155",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787572244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7421 BURNET RD # 155",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787572244",
"telephone_number": "512-652-5495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EGYPTIAN DOBERMAN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-05",
"last_updated": "2016-12-05",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "CASET",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "512-652-5495"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.