Individual provider Active NPI

David Loris Dollins, D.O.

  • General Practice Physician
  • Brookfield, MO
National Provider Identifier
1023345923
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2009030553 Issued in MO
Practice address
130 E Lockling St
Brookfield, MO 64628-2337
Phone
(660) 258-1041
Fax
(660) 258-1048
NPI assigned
Nov 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2009030553 MO Primary
Emergency Medicine Physician 207P00000X 2009030553 MO

Addresses

Primary practice location

130 E Lockling St
Brookfield, MO 64628-2337

Mailing address

130 E Lockling St
Brookfield, MO 64628-2337
Phone (660) 258-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150121002417 TX Practitioner - Emergency MedicinePractitioner - General Practice 3476698671 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLC 189 clinicians

Practice addresses (Care Compare)

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Hospital & facility affiliations

  • Comanche County Medical Center Hospital, Comanche, TX, CCN 451382
  • Muenster Memorial Hospital Hospital, Muenster, TX, CCN 451335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Nov 12, 2015 Accepting new patients
Emergency Staffing Solutions of West Texas LLC Emergency Medicine CurrentSince Nov 21, 2015 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince Dec 14, 2018 Accepting new patients
Comanche County Medical Center Company CurrentSince Apr 11, 2019 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Nov 12, 2015 Accepting new patients
Comanche County Medical Center Company CurrentSince Apr 11, 2019 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Emergency Hospital Systems LLC CurrentSince Jul 18, 2018 Accepting new patients
Carthage Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Prairie Trails Emergency Physicians Emergency Medicine Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1023345923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E LOCKLING ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282337",
            "telephone_number": "660-258-1041",
            "fax_number": "660-258-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E LOCKLING ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282337",
            "telephone_number": "660-258-1041",
            "fax_number": "660-258-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLINS",
        "first_name": "DAVID",
        "middle_name": "LORIS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-13",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2009030553",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2009030553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, MO

Sources for this page

Verify at the official NPI Registry.