Edward D Buckingham, M.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

K5468 Issued in TX

Practice address

2745 Bee Caves Road
Suite 101
Austin, TX 78746

Phone

(512) 401-2500

Fax

(512) 401-2501

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: Otolaryngology

Education

University of Texas Medical Branch at Galveston, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buckingham Center for Facial Plastic Surgery PAGroup PAC ID 1557342458, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospital at Westlake Medical Center Hospital, Austin, TX, CCN 670006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buckingham Center for Facial Plastic Surgery PA

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Austin, TX
  • NPI 1770554800

  Facial Plastic Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Albany Medical College

  • Otolaryngology Physician
  • Albany, NY
  • NPI 1750625976
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Westlake Surgical, L.P.

  • General Acute Care Hospital
  • West Lake Hills, TX
  • NPI 1043328198
  Care Compare affiliation

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1467434142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787670128",
            "telephone_number": "512-401-2500",
            "fax_number": "512-401-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 BEE CAVES ROAD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-401-2500",
            "fax_number": "512-401-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "EDWARD",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "K5468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "144634100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V2550",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "276816",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163600302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsti Buckendorf, PA
• Buckeye Urological Services, LP
• Buckingham Center for Facial Plastic Surgery PA
• Brad Scott Buckingham, D.M.D.
• Dawn C Buckingham, MD
• Aaron Buckley, RBT
• Anna Buckley
• Elizabeth Buckley, LPC
• Francis Paul Buckley III, MD
• Julie N Buckley, PT

• Facial Plastic Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.