PETER BROBERG, MD AND ASSOCIATES, PA (NPI# 1336246602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336246602 |
| Entity Type | Organization |
| Organization Name | PETER BROBERG, MD AND ASSOCIATES, PA |
| Practice Address |
4207 James Casey St Ste 305 Austin TX 78745-1193 |
| Practice Telephone | 5124476096 |
| Mailing Telephone | 5124476096 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | ALYSON BISHOP (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5124476096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080183901 | 05 | |
| TX | PALMETTO RR MEDICARE | CG5346 | 01 |
| Street Address |
4207 JAMES CASEY ST STE 305 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265091300 | Sheila Barbarino, Md Inc. | Ophthalmology | 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 | 2019-06-12 |
| 1073087706 | Laser Sight, Lp | Ophthalmology | 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 | 2019-01-16 |
| 1205221652 | Aliza Epstein | Ophthalmology | 3705 Medical Pkwy Ste 120, Austin, TX 78705-1022 | 2015-04-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| 1831444934 | Lake Austin Eye Pllc | Ophthalmology | 11614 Bee Caves Rd Ste 110, Austin, TX 78738-5551 | 2012-07-16 |
| 1184982977 | Peter Alan Ryg | Ophthalmology | 5011 Burnet Rd Fl 2, Austin, TX 78756-2653 | 2012-04-30 |
| 1902126105 | Megan Mcree Geloneck | Ophthalmology | 11111 Research Blvd Ste 240, Austin, TX 78759-5264 | 2010-06-10 |
| 1831414333 | Sonja Dieterichs | Ophthalmology | 1102 Carlotta Ln, Austin, TX 78733-1527 | 2010-03-29 |
| 1639311194 | Divya M. Varu | Ophthalmology | 901 Mopac Expy S, Barton Oaks Plaza Iv, Suite 350, Austin, TX 78746 | 2009-03-30 |
| 1669612891 | Craig Charles Kuglen Sr. | Ophthalmology | 1310 Rockcliff Rd, Austin, TX 78746-1205 | 2009-02-27 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.