Organization Active NPI

Clifford L. Deprang, MD, PA

  • Orthopaedic Surgery Physician
  • Abilene, TX
National Provider Identifier
1902842578
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K5283 Issued in TX
Legal business name
CLIFFORD L. DEPRANG, MD, PA
Practice address
2074 Antilley Rd
Abilene, TX 79606-5209
Phone
(325) 698-3865
Fax
(325) 793-1295
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Clifford L. Deprang, M.D.
Title
Director
Phone
(325) 698-3865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X K5283 TX Primary

Addresses

Primary practice location

2074 Antilley Rd
Abilene, TX 79606-5209

Mailing address

2074 Antilley Rd
Abilene, TX 79606-5209
Phone (325) 698-3865

Other identifiers 3

IdentifierTypeStateIssuer
K5283OtherTXTEXAS MEDICAL LICENSE
0021GCOtherTXBCBS - GROUP
134201OtherTXSUPERIOR HEALTH GROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902842578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065209",
            "telephone_number": "325-698-3865",
            "fax_number": "325-793-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065209",
            "telephone_number": "325-698-3865",
            "fax_number": "325-793-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD L. DEPRANG, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DEPRANG",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "325-698-3865",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K5283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "K5283",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP",
            "identifier": "0021GC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH GROUP",
            "identifier": "134201",
            "state": "TX"
        }
    ],
    "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 Apr 20, 2008; 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.