Individual provider Active NPI

Thomas B Coopwood I, M.D.

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1730218025
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0835 Issued in TX
Practice address
313 E 12TH St Ste 104
Austin, TX 78701-1955
Phone
(512) 324-8960
Fax
(512) 324-8962
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0835 TX Primary

Addresses

Primary practice location

313 E 12TH St Ste 104
Austin, TX 78701-1955

Mailing address

1601 Rio Grande St Ste 340
Austin, TX 78701-1162
Phone (512) 324-8963

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers PastSince Jan 27, 2016 Accepting new patients
Austin Surgical Clinic Surgery Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1730218025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RIO GRANDE ST STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011162",
            "telephone_number": "512-324-8963",
            "fax_number": "512-324-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 12TH ST STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011955",
            "telephone_number": "512-324-8960",
            "fax_number": "512-324-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPWOOD",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "D0835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.