Organization Active NPI

Imperial Med Services, LLC

  • Specialist
  • Driftwood, TX
National Provider Identifier
1851605802
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
IMPERIAL MED SERVICES, LLC
Practice address
188 Southern Sunset CV
Driftwood, TX 78619-1501
Phone
(512) 858-1575
Fax
(512) 858-1804
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Rob W Burdeniuk, CRNFA
Title
Owner
Phone
(512) 858-1575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

188 Southern Sunset CV
Driftwood, TX 78619-1501

Mailing address

PO Box 1750
Dripping Springs, TX 78620-1750
Phone (512) 858-1575

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1851605802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786201750",
            "telephone_number": "512-858-1575",
            "fax_number": "512-858-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 SOUTHERN SUNSET CV",
            "city": "DRIFTWOOD",
            "state": "TX",
            "postal_code": "786191501",
            "telephone_number": "512-858-1575",
            "fax_number": "512-858-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL MED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "BURDENIUK",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-858-1575",
        "authorized_official_credential": "CRNFA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Driftwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.