Healthcare Provider Details

I. General information

NPI: 1952864902
Provider Name (Legal Business Name): CHASE MATTHEW ROMERE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10861 183A TOLL RD STE 1200
LEANDER TX
78641-1257
US

IV. Provider business mailing address

1701 TRINITY ST
AUSTIN TX
78712-1869
US

V. Phone/Fax

Practice location:
  • Phone: 512-439-1009
  • Fax:
Mailing address:
  • Phone: 512-495-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberV9116
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberV9116
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: