Organization Active NPI

Egyptian Doberman, PLLC

  • Clinical Neurophysiology Physician
  • Austin, TX
National Provider Identifier
1073057428
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.