Active NPI
Judith and Uche Egbuta LLC
- Surgery Physician
- Odessa, TX
National Provider Identifier
1740923341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- JUDITH AND UCHE EGBUTA LLC
- Doing business as
- Judith Birungi
- Practice address
- 540 W 5TH St Ste 400
Odessa, TX 79761-5067 - Phone
- (432) 580-0300
- Fax
- (432) 580-0306
- NPI assigned
- Apr 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judith Birungi, MD
- Title
- President
- Phone
- (205) 962-6016
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
540 W 5TH St Ste 400
Odessa, TX 79761-5067
Mailing address
117 Gemini Cir Ste 403
Homewood, AL 35209-5859
Phone (205) 962-6016
Other names 1
- Judith Birungi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
540 W 5th St
Ste 400
Odessa, TX 79761
Phone (432) 580-0300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Odesa, TX
- NPI 1609183953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1740923341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 GEMINI CIR STE 403",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352095859",
"telephone_number": "205-962-6016",
"fax_number": "205-894-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W 5TH ST STE 400",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615067",
"telephone_number": "432-580-0300",
"fax_number": "432-580-0306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH AND UCHE EGBUTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-20",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "BIRUNGI",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-962-6016",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Judith Birungi",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Judith Birungi",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.