Philip B Oubre, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P7528 Issued in TX

Practice address

6836 Bee Caves Rd Ste 101
Austin, TX 78746-5059

Phone

(512) 829-1104

Fax

(512) 852-6737

NPI assigned

Jul 9, 2010

Last updated

May 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 7, 2017 through Jul 7, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1750693529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 BEE CAVES RD STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465059",
            "telephone_number": "512-829-1104",
            "fax_number": "512-852-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 BEE CAVES RD STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465059",
            "telephone_number": "512-829-1104",
            "fax_number": "512-852-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUBRE",
        "first_name": "PHILIP",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329219",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Otto, MD
• John Christopher Otts Jr., PHARMD
• Marilyn Otuagoma
• Derek D Ou, M.D.
• O. Oubre, R.PH.
• Laurence Edward Ouellette, LPC
• Yestle Ough
• Ouma Health Professional Limited Liability Company
• Our Family Home Care Services LLC
• Ourania S. Rossetos

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.