Active NPI
Austin M Kolbe, MD
- General Practice Physician
- Jbsa, TX
National Provider Identifier
1861148140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 36002
- Practice address
- Jbsa-Randolph Clinic
221 Third St West, BLDG 104
Jbsa, TX 78148 - Phone
- (210) 652-4264
- Fax
- (301) 235-1678
- NPI assigned
- Feb 25, 2022
- Last updated
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 36002 | NE | Primary |
| Military Health Care Provider | 171000000X |
Addresses
Primary practice location
Jbsa-Randolph Clinic
221 Third St West, BLDG 104
Jbsa, TX 78148
Mailing address
Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop, BLDG 4554, 59 MDW/Gme
Jbsa Lackland, TX 78263-9908
Phone (210) 916-9928
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002 | NE | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1861148140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WILFORD HALL AMBULATORY SURGICAL CENTER",
"address_2": "1100 WILFORD HALL LOOP, BLDG 4554, 59 MDW/GME",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782639908",
"telephone_number": "210-916-9928",
"fax_number": "210-916-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JBSA-RANDOLPH CLINIC",
"address_2": "221 THIRD ST WEST, BLDG 104",
"city": "JBSA",
"state": "TX",
"postal_code": "78148",
"telephone_number": "210-652-4264",
"fax_number": "301-235-1678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLBE",
"first_name": "AUSTIN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-25",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "36002",
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jbsa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.