Individual provider Active NPI

Russell Gene Doubrava, DO

  • Urology Physician
  • Decatur, TX
National Provider Identifier
1992761712
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M1642 Issued in TX
Practice address
2451 S FM 51 Ste 100
Decatur, TX 76234-3859
Phone
(940) 627-0088
Fax
(940) 627-0288
NPI assigned
Apr 21, 2006
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X M1642 TX Primary

Addresses

Primary practice location

2451 S FM 51 Ste 100
Decatur, TX 76234-3859

Mailing address

1512 Teasley LN
Denton, TX 76205-7282
Phone (940) 442-5209

Other identifiers 2

IdentifierTypeStateIssuer
176202301MedicaidTX
857490OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000363 TX Practitioner - Urology 4284668831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Texas Tech University Health Science Center School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Independent Physicians Group IncGroup PAC ID 3375819535, 39 clinicians

Practice addresses (Care Compare)

2451 S FM
51 Suite 100
Decatur, TX 76234-3859
Phone (940) 627-0088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.73 of 100Reported as individual
Quality
91.46
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Independent Physicians Group, Inc. Urology CurrentSince Oct 1, 2024 Accepting new patients
Leeroy McCurley MD PA Current Accepting new patients
North Texas Arrhythmia Associates PA Past Accepting new patients
Pilot Point Family Practice Management Inc. Past Accepting new patients

Locations

2451 S FM 51
Ste 100
Decatur, TX 76234
Phone (940) 627-0088

1512 Teasley Ln
Denton, TX 76205
Phone (940) 566-5010

309 Westpark Way
Ste 309
Euless, TX 76040

315 Westpark Way
Euless, TX 76040
Phone (817) 267-0550

3121 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (214) 649-4686

1246 S Highway 377
Ste C
Pilot Point, TX 76258
Phone (940) 686-2254

Interoperability endpoints

  • Direct secure messaging: russelldoubrava@doubravauro.medalliesdirect.net

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1992761712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057282",
            "telephone_number": "940-442-5209",
            "fax_number": "940-222-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S FM 51 STE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343859",
            "telephone_number": "940-627-0088",
            "fax_number": "940-627-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBRAVA",
        "first_name": "RUSSELL",
        "middle_name": "GENE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M1642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176202301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "857490",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.