Organization Active NPI

West Texas Allergy, PA

  • Allergy & Immunology Physician
  • Midland, TX
National Provider Identifier
1073631404
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
WEST TEXAS ALLERGY, PA
Practice address
5000 Briarwood Ave Ste 100
Midland, TX 79707-2753
Phone
(432) 682-5385
Fax
(432) 682-1265
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael P Wolbert, MDNPI 1881711778
Title
Owner
Phone
(432) 682-5385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

5000 Briarwood Ave Ste 100
Midland, TX 79707-2753

Mailing address

5000 Briarwood Ave
Midland, TX 79707-2753
Phone (432) 682-5385

Other practice location 1

5424 19th St Ste 300
Lubbock, TX 79407-2164
Phone (806) 795-4397

Other identifiers 2

IdentifierTypeStateIssuer
00608KOtherTXMEDICARE PTAN
080863601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000500 TX Part B Supplier - Clinic/Group Practice 4385693167 Receives reassigned benefits from 5 practitioners
Practice locations: Lubbock, TX; Midland, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2137364West Texas Allergy, PA5000 Briarwood Avenue, Midland, TX 79707Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory

Locations

2407 W Louisiana Ave
Ste 108
Midland, TX 79701
Phone 432682538513

5000 Briarwood Ave
Ste 100
Midland, TX 79707
Phone (432) 682-5385

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1073631404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRIARWOOD AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072753",
            "telephone_number": "432-682-5385",
            "fax_number": "432-682-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRIARWOOD AVE STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072753",
            "telephone_number": "432-682-5385",
            "fax_number": "432-682-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5424 19th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072164",
            "country_code": "US",
            "telephone_number": "806-795-4397",
            "fax_number": "806-796-1354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST TEXAS ALLERGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "WOLBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-682-5385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00608K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080863601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.