Active NPI
Otmar Wolf Albrand, MD
- Neurological Surgery Physician
- Denison, TX
National Provider Identifier
1285882621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- E4789
- Practice address
- 1202 Waterloo Lake Dr
Denison, TX 75020-5406 - Phone
- (903) 465-8135
- Fax
- (903) 465-4859
- NPI assigned
- Aug 27, 2008
- Last updated
- Aug 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | E4789 | TX | Primary |
Addresses
Primary practice location
1202 Waterloo Lake Dr
Denison, TX 75020-5406
Mailing address
1202 Waterloo Lake Dr
Denison, TX 75020-5406
Phone (903) 465-8135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4789 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Tech Diagnostic Inc | Past | Accepting new patients | |
| Novel Medical Management Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1285882621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 WATERLOO LAKE DR",
"city": "DENISON",
"state": "TX",
"postal_code": "750205406",
"telephone_number": "903-465-8135",
"fax_number": "903-465-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 WATERLOO LAKE DR",
"city": "DENISON",
"state": "TX",
"postal_code": "750205406",
"telephone_number": "903-465-8135",
"fax_number": "903-465-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBRAND",
"first_name": "OTMAR",
"middle_name": "WOLF",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "E4789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.