Individual provider Active NPI

Robert Gene Garmon, D.O.

  • Pulmonary Disease Physician
  • Weatherford, TX
National Provider Identifier
1093827784
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
E3279 Issued in TX
Practice address
712 E Anderson St
Suite B
Weatherford, TX 76086-5873
Phone
(817) 599-3342
Fax
(817) 599-3338
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X E3279 TX Primary

Addresses

Primary practice location

712 E Anderson St
Suite B
Weatherford, TX 76086-5873

Mailing address

PO Box 961094
File 916035
Fort Worth, TX 76161-0094
Phone (817) 599-3342

Other identifiers 1

IdentifierTypeStateIssuer
0081GGOtherTXBLUE CROSS PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093827784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961094",
            "address_2": "FILE 916035",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761610094",
            "telephone_number": "817-599-3342",
            "fax_number": "817-599-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E ANDERSON ST",
            "address_2": "SUITE B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865873",
            "telephone_number": "817-599-3342",
            "fax_number": "817-599-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMON",
        "first_name": "ROBERT",
        "middle_name": "GENE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "E3279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "0081GG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.