Individual provider Active NPI

Madison Dunman, PA-C

  • Physician Assistant
  • New Braunfels, TX
National Provider Identifier
1558823591
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12732 Issued in TX
Practice address
598 N Union Ave Ste 300
New Braunfels, TX 78130-4179
Phone
(830) 627-7979
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12732 TX Primary

Addresses

Primary practice location

598 N Union Ave Ste 300
New Braunfels, TX 78130-4179

Mailing address

598 N Union Ave Ste 300
New Braunfels, TX 78130-4179
Phone (830) 627-7979

Other identifiers 1

IdentifierTypeStateIssuer
PA12732OtherTXSTATE LICENSE

Other names 1

  • Madison Casper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12732TXMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1558823591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE STE 300",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304179",
            "telephone_number": "830-627-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE STE 300",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304179",
            "telephone_number": "830-627-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNMAN",
        "first_name": "MADISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA12732",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "CASPER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.