NPIMap

Organization Active NPI

Christopher S. Eddleman, M.D., PHD, PLLC

  • Neurological Surgery Physician
  • Abilene, TX
National Provider Identifier
1871939835
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
N5028 Issued in TX
Legal business name
CHRISTOPHER S. EDDLEMAN, M.D., PHD, PLLC
Practice address
1924 Pine St
Suite 504
Abilene, TX 79601-2451
Phone
(325) 670-4730
Fax
(325) 670-4736
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Christopher S Eddleman, M.D.NPI 1639497563
Title
Owner
Phone
(325) 670-4730

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X N5028 TX Primary

Addresses

Primary practice location

1924 Pine St
Suite 504
Abilene, TX 79601-2451

Mailing address

1924 Pine St
Suite 504
Abilene, TX 79601-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131119000189 TX Part B Supplier - Clinic/Group Practice 5597991737 Receives reassigned benefits from 5 practitioners
Practice locations: Abilene, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1871939835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 PINE ST",
            "address_2": "SUITE 504",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 PINE ST",
            "address_2": "SUITE 504",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012451",
            "telephone_number": "325-670-4730",
            "fax_number": "325-670-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER S. EDDLEMAN, M.D., PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "EDDLEMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-670-4730",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N5028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.

Verify at the official NPI Registry.