NPIMap

Organization Active NPI

Daughters of Charity Health Services of Austin

Doing business as Dell Childrens Medical Center of Central Texas

  • Emergency Medical Services (Emergency Medicine) Physician
  • Austin, TX
National Provider Identifier
1417175506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
DAUGHTERS OF CHARITY HEALTH SERVICES OF AUSTIN
Doing business as
Dell Childrens Medical Center of Central Texas
Practice address
1201 W 38TH St
Austin, TX 78705-1006
Phone
(512) 324-7463
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce Broslat
Title
VP, Coo
Phone
(512) 324-7051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X Primary

Addresses

Primary practice location

1201 W 38TH St
Austin, TX 78705-1006

Mailing address

PO Box 2298
San Antonio, TX 78298-2298
Phone (800) 962-3303

Other names 1

  • Dell Childrens Medical Center of Central Texas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daughters of Charity HL56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417175506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2298",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982298",
            "telephone_number": "800-962-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W 38TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051006",
            "telephone_number": "512-324-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHTERS OF CHARITY HEALTH SERVICES OF AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROSLAT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, COO",
        "authorized_official_telephone_number": "512-324-7051"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dell Childrens Medical Center of Central Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.