Individual provider Active NPI

Walter Thomas Caven Jr., M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1306966916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F6519 Issued in TX
Practice address
601 E 15TH St
Medical Affairs Brackenridge Hospital
Austin, TX 78701-1930
Phone
(512) 324-1169
Fax
(512) 324-7051
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F6519 TX Primary

Addresses

Primary practice location

601 E 15TH St
Medical Affairs Brackenridge Hospital
Austin, TX 78701-1930

Mailing address

601 E 15TH St
Medical Affairs Brackenridge Hospital
Austin, TX 78701-1930
Phone (512) 324-1169

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F6519TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306966916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 15TH ST",
            "address_2": "MEDICAL AFFAIRS BRACKENRIDGE HOSPITAL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011930",
            "telephone_number": "512-324-1169",
            "fax_number": "512-324-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 15TH ST",
            "address_2": "MEDICAL AFFAIRS BRACKENRIDGE HOSPITAL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011930",
            "telephone_number": "512-324-1169",
            "fax_number": "512-324-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVEN",
        "first_name": "WALTER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F6519",
            "primary": true
        }
    ],
    "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 Jul 8, 2007; 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.