Active NPI
Ladislav Doupnik, M.D.
- Emergency Medicine Physician
- Rockport, TX
National Provider Identifier
1386623429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- F1512
- Practice address
- 1325 Broadway St
Rockport, TX 78382-3333 - Phone
- (361) 729-0646
- Fax
- (361) 729-8851
- NPI assigned
- Jan 16, 2006
- Last updated
- Sep 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | F1512 | TX | Primary |
| Family Medicine Physician | 207Q00000X | F1512 | TX |
Addresses
Primary practice location
1325 Broadway St
Rockport, TX 78382-3333
Mailing address
1325 Broadway St
Rockport, TX 78382-3333
Phone (361) 729-0646
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 |
|---|---|---|---|
| F1512 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellville Hospital District | Emergency Medicine | Past | Accepting new patients |
| Bellville Medical Center | Family Medicine | Past | Accepting new patients |
| Glen Rose Medical Foundation Inc. | Emergency Medicine | Past | Accepting new patients |
| Glen Rose Medical Foundation | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Bellville General Hospital
- General Acute Care Hospital
- Bellville, TX
- NPI 1457358103
Emergency Medicine
-
dba Mid Coast Medical Center-Bellville
- General Acute Care Hospital
- Bellville, TX
- NPI 1477857332
Family Medicine
-
dba Glen Rose Medical Center
- Certified Registered Nurse Anesthetist
- Glen Rose, TX
- NPI 1992749857
Emergency Medicine
-
dba Glen Rose Medical Center
- Emergency Medicine Physician
- Glen Rose, TX
- NPI 1639292964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1386623429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 BROADWAY ST",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783823333",
"telephone_number": "361-729-0646",
"fax_number": "361-729-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 BROADWAY ST",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783823333",
"telephone_number": "361-729-0646",
"fax_number": "361-729-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUPNIK",
"first_name": "LADISLAV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "F1512",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F1512",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.