Individual provider Active NPI

Carl Urban Westbrook II, MD

  • Obstetrics & Gynecology Physician
  • Tyler, TX
National Provider Identifier
1902881980
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E0376 Issued in TX
Practice address
1324 S Beckham Ave
Suite 207
Tyler, TX 75701-3322
Phone
(903) 597-7070
Fax
(903) 597-7068
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E0376 TX Primary
Surgery Physician 208600000X E0376 TX

Addresses

Primary practice location

1324 S Beckham Ave
Suite 207
Tyler, TX 75701-3322

Mailing address

1324 South Beckham
Suite 207
Tyler, TX 75701-3050
Phone (903) 597-7070

Other identifiers 1

IdentifierTypeStateIssuer
128201407MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E0376TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carl U Westbrook, II, MD, PA PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1902881980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 SOUTH BECKHAM",
            "address_2": "SUITE 207",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013050",
            "telephone_number": "903-597-7070",
            "fax_number": "903-597-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 S BECKHAM AVE",
            "address_2": "SUITE 207",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013322",
            "telephone_number": "903-597-7070",
            "fax_number": "903-597-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "CARL",
        "middle_name": "URBAN",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E0376",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E0376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128201407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.