Organization Active NPI

Occumed Plus - C/FB, LLC

Doing business as Occumed Plus - C/FB

  • General Practice Physician
  • Carrollton, TX
National Provider Identifier
1427834613
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OCCUMED PLUS - C/FB, LLC
Doing business as
Occumed Plus - C/FB
Practice address
1555 Valwood Pkwy Ste 100
Carrollton, TX 75006-8401
Phone
(469) 513-6800
NPI assigned
Sep 5, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Matthew Middlebrook
Title
Director
Phone
(972) 494-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1555 Valwood Pkwy Ste 100
Carrollton, TX 75006-8401

Mailing address

2046 Forest LN Ste 180
Garland, TX 75042-7939
Phone (972) 494-1419

Other names 1

  • Occumed Plus - C/FB Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2291847Occumed Plus - C/FB, LLC1555 Valwood Pkwy Ste 100, Carrollton, TX 75006Certificate of waiverOct 16, 2027

National Provider Directory

National Provider Directory

Locations

1555 Valwood Pkwy
Ste 100
Carrollton, TX 75006
Phone (469) 513-6800

2046 Forest Ln
Ste 180
Garland, TX 75042
Phone (972) 494-1419

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1427834613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 FOREST LN STE 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427939",
            "telephone_number": "972-494-1419",
            "fax_number": "972-494-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 VALWOOD PKWY STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750068401",
            "telephone_number": "469-513-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUMED PLUS - C/FB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-494-1419"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occumed Plus - C/FB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.