Individual provider Active NPI

David J Izbrand, M.D.

  • Ophthalmology Physician
  • Abilene, TX
National Provider Identifier
1639145410
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H2486 Issued in TX
Practice address
1750 Pine St
Abilene, TX 79601-3044
Phone
(325) 677-2741
Fax
(325) 676-1803
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H2486 TX Primary

Addresses

Primary practice location

1750 Pine St
Abilene, TX 79601-3044

Mailing address

1750 Pine St
Abilene, TX 79601-3044
Phone (325) 677-2741

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100621000120 TX Practitioner - Ophthalmology 8123158094 Practice locations: Abilene, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H2486TXMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1639145410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013044",
            "telephone_number": "325-677-2741",
            "fax_number": "325-676-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013044",
            "telephone_number": "325-677-2741",
            "fax_number": "325-676-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZBRAND",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H2486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.