Organization Active NPI

Brobst Facial Plastics, PLLC

  • Facial Plastic Surgery Physician
  • Plano, TX
National Provider Identifier
1114286135
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
P2101 Issued in TX
Legal business name
BROBST FACIAL PLASTICS, PLLC
Practice address
4800 Hedgcoxe Rd # 250
Plano, TX 75024-2403
Phone
(312) 523-8693
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Dr. Robert William Brobst Jr., M.D.
Title
Managing Member
Phone
(312) 523-8693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X P2101 TX Primary

Addresses

Primary practice location

4800 Hedgcoxe Rd # 250
Plano, TX 75024-2403

Mailing address

4800 Hedgcoxe Rd # 250
Plano, TX 75024-2403
Phone (312) 523-8693

National Provider Directory

National Provider Directory

Locations

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

4800 Hedgcoxe Rd
Ste 250
Plano, TX 75024
Phone (312) 523-8693

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1114286135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 HEDGCOXE RD # 250",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242403",
            "telephone_number": "312-523-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 HEDGCOXE RD # 250",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242403",
            "telephone_number": "312-523-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROBST FACIAL PLASTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "BROBST",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "312-523-8693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "P2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.