Individual provider Active NPI

Robert Neil Treece III, MD

  • Pediatrics Physician
  • Bowling Green, KY
National Provider Identifier
1043279987
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10190A Issued in WY
Practice address
1211 Ashley Cir
Bowling Green, KY 42104-3383
Phone
(270) 782-8700
Fax
(270) 782-8704
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10190A WY Primary

Addresses

Primary practice location

1211 Ashley Cir
Bowling Green, KY 42104-3383

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 781-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230601002400 SC Practitioner - Pediatric Medicine 1355657016 Reassigns benefits to 1 organization
I20230809000472 KY Practitioner - Pediatric Medicine 1355657016 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10190AWYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St James Health and Wellness Inc Current Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Sep 18, 2023 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Sep 18, 2023 Accepting new patients
St James Health and Wellness Inc CurrentSince Jan 4, 2023 Accepting new patients
St. James Health and Wellness Inc. CurrentSince Jan 4, 2023 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Past Accepting new patients

Locations

1211 Ashley Cir
Bowling Green, KY 42104
Phone (270) 782-8700

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1189 Tibwin Rd
Mc Clellanville, SC 29458
Phone (843) 887-3929

Interoperability endpoints

  • Direct secure messaging: roberttreece@ggc.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1043279987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-781-5111",
            "fax_number": "270-783-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043383",
            "telephone_number": "270-782-8700",
            "fax_number": "270-782-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREECE",
        "first_name": "ROBERT",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "10190A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.