Individual provider Active NPI

Dov Ber Taber

  • Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1609390533
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP09623 Issued in LA
Practice address
211 4TH St
Alexandria, LA 71301-8421
Phone
(318) 769-6000
NPI assigned
Aug 2, 2017
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP09623 LA Primary
Emergency Registered Nurse 163WE0003X RN9385871 FL

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301-8421

Mailing address

109 Nation Rd
Deville, LA 71328-9043
Phone (410) 598-8751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180131001808 LA Practitioner - Nurse Practitioner 3870853344 Reassigns benefits to 1 organization
I20240518000652 TX Practitioner - Nurse Practitioner 3870853344 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore County Hospital DistrictGroup PAC ID 1254226269, 44 clinicians
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians

Practice addresses (Care Compare)

224 E 2ND St
Dumas, TX 79029-3808
Phone (806) 934-7813

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9385871FLMDEmergency Registered Nurse
AP09623LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Mar 13, 2025 Accepting new patients
County of Yoakum CurrentSince May 5, 2025 Accepting new patients
Dimmit Regional Hospital CurrentSince Feb 4, 2026 Accepting new patients
Acs Primary Care Physicians Louisiana PC Nurse Practitioner CurrentSince Feb 1, 2018 Accepting new patients
Dimmit Regional Hospital CurrentSince Jan 1, 2026 Accepting new patients
Moore County Hospital District CurrentSince Oct 14, 2025 Accepting new patients
County of Yoakum CurrentSince May 5, 2025 Accepting new patients
Dimmit Regional Hospital CurrentSince Jan 1, 2026 Accepting new patients
Moore County Hospital District CurrentSince Oct 14, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 28, 2024 Accepting new patients
County of Yoakum Current Accepting new patients
Gulf Coast Emergency Physicians, PLLC Nurse Practitioner CurrentSince Oct 15, 2025 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

1313 Veterans Ave
Ste A
Crystal City, TX 78839
Phone (830) 374-9823

412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121

224 E 2nd St
Dumas, TX 79029
Phone (806) 934-7813

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

311 Green Ave
Palacios, TX 77465
Phone (361) 972-2511

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1609390533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NATION RD",
            "city": "DEVILLE",
            "state": "LA",
            "postal_code": "713289043",
            "telephone_number": "410-598-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-769-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABER",
        "first_name": "DOV",
        "middle_name": "BER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09623",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9385871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.