Individual provider Active NPI

Andreas Magdeburg, BSRRT

  • Home Health Registered Respiratory Therapist
  • Spring, TX
National Provider Identifier
1447643044
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered Respiratory TherapistTaxonomy code 2279H0200X
License
59951 Issued in TX
Practice address
21034 Deauville Dr
Spring, TX 77388-4142
Phone
(713) 826-4725
NPI assigned
Mar 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Respiratory Therapist 2279H0200X 59951 TX Primary

Addresses

Primary practice location

21034 Deauville Dr
Spring, TX 77388-4142

Mailing address

21034 Deauville Dr
Spring, TX 77388-4142
Phone (713) 826-4725

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

State licenses

LicenseStateTypeSpecialty
59951TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1447643044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21034 DEAUVILLE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884142",
            "telephone_number": "713-826-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21034 DEAUVILLE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884142",
            "telephone_number": "713-826-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDEBURG",
        "first_name": "ANDREAS",
        "name_prefix": "Mr.",
        "credential": "BSRRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "TX",
            "license": "59951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.