Active NPI
Alexander B Douglass, MD
- Urology Physician
- Corsicana, TX
National Provider Identifier
1598739013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- F0981
- Practice address
- 1505 N 22ND St
Corsicana, TX 75110-2805 - Phone
- (903) 872-6230
- Fax
- (903) 654-4625
- NPI assigned
- Feb 13, 2006
- Last updated
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | F0981 | TX | Primary |
Addresses
Primary practice location
1505 N 22ND St
Corsicana, TX 75110-2805
Mailing address
1505 N 22ND St
Corsicana, TX 75110-2805
Phone (903) 872-6230
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134639 | Other | TX | CHIPS |
| DO08S3130 | Other | TX | BCBS |
| P00238470 | Other | TX | MEDICARE RAILROAD |
| 752616977073 | Other | TX | TRICARE CHAMPUS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1598739013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 N 22ND ST",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102805",
"telephone_number": "903-872-6230",
"fax_number": "903-654-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 N 22ND ST",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102805",
"telephone_number": "903-872-6230",
"fax_number": "903-654-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLASS",
"first_name": "ALEXANDER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "F0981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIPS",
"identifier": "134639",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "DO08S3130",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00238470",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "752616977073",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.