TIRA CHAICHA-BROM


Address: 6500 N Mopac, Bldg 3, Ste 200, Austin, TX 78731-4309
Phone: 5124588400

TIRA CHAICHA-BROM (NPI# 1548434756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548434756
Entity Type Individual
Full Name TIRA CHAICHA-BROM
Other Name TIRA CHAICHA
Credential M.D.
Practice Address 6500 N Mopac, Bldg 3, Ste 200
Austin
TX 78731-4309
Practice Telephone 5124588400
Practice Fax Number 5124588593
Mailing Telephone 5124588400
Mailing Fax Number 5124588593
Enumeration Date 2008-04-17
Last Update Date 2014-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
P5049 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX STATE LICENSE P5049 01
TX BCBS INDIVIDUAL 8DP866 01

Office Location

Street Address 6500 N MOPAC, BLDG 3, STE 200
City AUSTIN
State TX
Zip Code 78731-4309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598964702 Lindsay Bundrick Harrison Internal Medicine 6500 N Mopac, Bldg 3, Ste 200, Austin, TX 78731-4309 2007-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033710892 Anew Era Tms & Psychiatry of Texas, Pa Psychiatry & Neurology 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 2020-11-06
1962016519 Jennie Rose Posey Clinical Nurse Specialist 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 2020-09-01
1437772373 Sharon Polackal Student in an Organized Health Care Education/Training Program Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 2020-05-27
1699309773 Modern Vision Group, Pllc Optometrist 3908 Far W Blvd, Austin, TX 78731 2020-02-27
1235699562 Catherine Kerrigan Social Worker 7514 N Mopac Expy, Suite 100, Austin, TX 78731 2019-03-22
1912474651 Austin Dental Spa, Pllc Dentist 3305 Northland Ste 515, Austin, TX 78731 2018-10-31
1982110938 Lindsey Sheppard Dietitian, Registered 7000 N Mopac Expy, Suite 200, Austin, TX 78731 2017-12-28
1144746066 Sarah Cotton Occupational Therapist 3520 Executive Center Drive, Suite 128, Austin, TX 78731 2017-08-22
1699299792 Avoia Mia Tapia Physical Therapist 3721 Executive Center Drive, Suite 201, Austin, TX 78731 2017-07-31
1265889745 Home Focus Aba Behavioral Analyst 6804 Capital of Tx Hwy N 412, Austin, TX 78731 2016-05-16
Find all providers in zip 78731

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205136389 Texmar Services Inc Internal Medicine 2002 Guadalupe St Ste A, Suite 316, Austin, TX 78705-6656 2010-10-23
1902122823 Padma K. Horvit, Md, Pa Internal Medicine 12501 Hymeadow Dr Ste 1c, Austin, TX 78750-1831 2010-04-16
1649245697 Valerie Diane Espinosa Internal Medicine 6500 North Mo Pac Expressway, Building 3, Suite 200, Austin, TX 78731 2006-02-22
1467741132 Jean Chen Internal Medicine 6500 N Mo Pac Expy, #200, Austin, TX 78731-3282 2011-04-04
1699064766 Dustyn Erik Williams Internal Medicine 2111 Kramer Ln Ste 100, Austin, TX 78758-4032 2011-03-29
1225363153 Jesslyn Jiaen Lu Internal Medicine 12221 N Mopac Expy, Austin, TX 78758-2401 2009-10-09
1720212426 Sherwin S Yen Internal Medicine 12221 N Mopac Expy, Austin, TX 78758-2401 2009-05-08
1831397793 Linda Maidment Meyers Internal Medicine 12221 N Mopac Expy, Austin, TX 78758-2401 2007-07-03
1912108366 Farheen Yousuf Internal Medicine 12221 N Mo Pac Expy, Austin, TX 78758-2401 2007-05-31
1851424634 Simona Scumpia Md Pa Internal Medicine 2200 Park Bend Dr, Bldg 3-300, Austin, TX 78758-5387 2007-03-13
Find all providers in AUSTIN

Competitor

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City AUSTIN
Zip Code 78731

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Dataset Information

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.

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