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RUSSELL DOUBRAVA DO PA
NPI 1639135452
Urology in Decatur, TX

Active since April 21, 2006CLIA 45D1043715 · Microscopy
2010 BEN MERRITT DR, STE B, DECATUR, TX 76234(940) 627-0088(940) 627-0288 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Russell Doubrava Do Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL DOUBRAVA DO PA (NPI 1639135452) is a healthcare organization registered as an urology in Decatur, Texas and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through July 31, 2027 and lists Russell G Doubrava, President, as its authorized official.

NPPES Registry Identity

NPI1639135452
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameRUSSELL DOUBRAVA DO PA
Location Address2010 BEN MERRITT DR, STE BDecatur, TX 76234
Mailing Address2010 Ben Merritt Dr, Ste BDecatur, TX 76234 · (940) 627-0088 · Fax (940) 627-0288
Phone(940) 627-0088
Fax(940) 627-0288
Organization SubpartNo
Authorized OfficialRussell G DoubravaPresident · (940) 627-0088
Enumeration DateApril 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639135452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2010 BEN MERRITT DR, Decatur, TX 76234
Open in Google Maps ↗

Other Identifiers 1

Other0072MUBcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1043715

Russell Doubrava, Do · Decatur, TX
Active · expires Jul 31, 2027
CLIA Number45D1043715
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorRussell G. Doubrava
Laboratory Phone(940) 627-0088
Laboratory LocationRussell Doubrava, Do2451 S Fm 51, Suite 100, Decatur, TX 76234
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALLAS ONCOLOGY CONSULTANTS PA
Internal Medicine (Hematology & Oncology)
2010 BEN MERRITT DR, SUITE A
DECATUR, TX 76234
Wise County (940) 626-2300
LINDA MARIE SCHAEFER PA
Physician Assistant
2010 BEN MERRITT DR
DECATUR, TX 76234
Wise County (940) 626-2300
DEENA DWYER BSRT(T)
Radiology (Radiation Oncology)
2010 BEN MERRITT DR
DECATUR, TX 76234
Wise County (940) 626-2300
DR. NEELIMA MADDUKURI M.D
Internal Medicine (Hematology & Oncology)
2010 BEN MERRITT DR, SUITE A
DECATUR, TX 76234
Wise County (940) 626-2300
CHANIN OWEN FNP
Nurse Practitioner (Family)
2010 BEN MERRITT DR, SUITE A
DECATUR, TX 76234
Wise County (940) 626-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Doubrava Do PA's NPI number?

The NPI number for Russell Doubrava Do PA is 1639135452. It was assigned to this organization in the NPPES registry on April 21, 2006.

Where is Russell Doubrava Do PA located?

Russell Doubrava Do PA is located at 2010 Ben Merritt Dr Ste B, Decatur, TX 76234. The listed phone number is (940) 627-0088.

What is Russell Doubrava Do PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Russell Doubrava Do PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1043715) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Russell Doubrava Do PA accept?

Health plans from WellPoint list Russell Doubrava Do PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russell Doubrava Do PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.