Individual provider Active NPI

Ladislav Doupnik, M.D.

  • Emergency Medicine Physician
  • Rockport, TX
National Provider Identifier
1386623429
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
F1512 Issued in TX
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
F1512TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Bellville Medical Center Family Medicine PastSince Aug 6, 2019 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.

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.

Verify at the official NPI Registry.