Organization Active NPI

Occ Med Associates

  • Occupational Medicine Physician
  • Lubbock, TX
National Provider Identifier
1174653851
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
E6784 Issued in TX
Legal business name
OCC MED ASSOCIATES
Practice address
25 Briercroft Office Park
Lubbock, TX 79412-3011
Phone
(806) 795-7433
Fax
(806) 795-7407
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Bryce Harvey Olson
Title
Executive Director
Phone
(806) 795-7433

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X L9072 TX
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X F3836 TX
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X E6784 TX Primary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X G2800 TX
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 654240000 TX
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 555410000 TX

Addresses

Primary practice location

25 Briercroft Office Park
Lubbock, TX 79412-3011

Mailing address

25 Briercroft Office Park
Lubbock, TX 79412-3011
Phone (806) 795-7433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1174653851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BRIERCROFT OFFICE PARK",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123011",
            "telephone_number": "806-795-7433",
            "fax_number": "806-795-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BRIERCROFT OFFICE PARK",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123011",
            "telephone_number": "806-795-7433",
            "fax_number": "806-795-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCC MED ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-795-7433"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "L9072",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "F3836",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "E6784",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "G2800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "654240000",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "555410000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.