NPI age
20 years
Enumerated 2006-05-26
● Active
Type 1 · Individual
DR. Mitchell Dongjun Imm, M.D.
Imm is 1 of 52 pediatrics providers in Austin and 1 of 729 in Texas.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
NC
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-09-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 729 active pediatrics providers in Texas.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
1
In the 47% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
10647 Bramblecrest Dr
Austin, TX 787261906
Mailing address
10647 Bramblecrest Dr
Austin, TX 787261906
Specialties
-
Pediatrics PrimaryA pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 89131UT | |
| 01 (NC) | 131UT | BCBS NC |
| 01 (NC) | 7355461 | AETNA |
| 01 (NC) | D8866 | MEDCOST |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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