Organization Active NPI

Bruce D. Robbins, M.D.

Doing business as Twin Lakes Neurology

  • Specialist
  • Mountain Home, AR
National Provider Identifier
1073716569
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N8229 Issued in AR
Legal business name
BRUCE D. ROBBINS, M.D.
Doing business as
Twin Lakes Neurology
Practice address
1422 Highway 62 W
Mountain Home, AR 72653-4617
Phone
(870) 424-6634
Fax
(870) 424-6648
NPI assigned
Jun 11, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Bruce Donald Robbins, M.D.NPI 1285602292
Title
Owner
Phone
(870) 424-6634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X N8229 AR Primary

Addresses

Primary practice location

1422 Highway 62 W
Mountain Home, AR 72653-4617

Mailing address

1422 Highway 62 W
Mountain Home, AR 72653-4617
Phone (870) 424-6634

Other identifiers 4

IdentifierTypeStateIssuer
131368002MedicaidAR
13174000040OtherARQUALCHOICE HEALTH PLAN
55483OtherARBCBS
130015521OtherARMEDICARE RAILROAD

Other names 1

  • Twin Lakes Neurology Doing business as

National Provider Directory

National Provider Directory

Locations

1422 Highway 62 W
Mountain Home, AR 72653
Phone (870) 424-6634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1073716569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 HIGHWAY 62 W",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534617",
            "telephone_number": "870-424-6634",
            "fax_number": "870-424-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 HIGHWAY 62 W",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534617",
            "telephone_number": "870-424-6634",
            "fax_number": "870-424-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D. ROBBINS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-424-6634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "N8229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131368002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE HEALTH PLAN",
            "identifier": "13174000040",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55483",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "130015521",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Lakes Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.