Individual provider Active NPI

Robert R Williams

  • Orthopaedic Surgery Physician
  • Victoria, TX
National Provider Identifier
1083106884
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
U7540 Issued in TX
Practice address
6404 Nursery Dr Ste 202
Victoria, TX 77904-1688
Phone
(361) 333-5321
Fax
(361) 576-0639
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X BP10064497 TX
Orthopaedic Surgery Physician 207X00000X U7540 TX Primary

Addresses

Primary practice location

6404 Nursery Dr Ste 202
Victoria, TX 77904-1688

Mailing address

6404 Nursery Dr Ste 202
Victoria, TX 77904-1688
Phone (361) 333-5321

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
I20240419002893 TX Practitioner - Orthopedic Surgery 7315382496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6404 Nursery Dr
Suite 202
Victoria, TX 77904-1721
Phone 3615760633101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement13
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10064497TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Orthopedic Center PLLC Orthopaedic Surgery CurrentSince Apr 1, 2024 Accepting new patients
Victoria Orthopedic Center PLLC Orthopaedic Surgery CurrentSince Apr 1, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

6404 Nursery Dr
Ste 202
Victoria, TX 77904
Phone (361) 333-5321

605 E San Antonio St
Ste 520E
Victoria, TX 77901
Phone (361) 576-0633

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDBEBD

Organizations & group practices 3

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 5

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1083106884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 NURSERY DR STE 202",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041688",
            "telephone_number": "361-333-5321",
            "fax_number": "361-576-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 NURSERY DR STE 202",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041688",
            "telephone_number": "361-333-5321",
            "fax_number": "361-576-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BP10064497",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "U7540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.