Richard Todd Dombroski, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

Q3358 Issued in TX

Practice address

6913 Camp Bowie Blvd Ste 107
Fort Worth, TX 76116-7164

Phone

(817) 367-9289

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Todd Dombroski Other name

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

Specialty

Sports MedicineAlso: Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richardtdombroski@docdmedicalconsulting.ssdirect.aprima.com

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762

  TX

  Medicare reassignment NPD
• Doc D Medical Consulting, PLLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1629650791

  Family Medicine, TX

  Medicare reassignment NPD
• Fisher County Hospital District

  • Rural Health Clinic/Center
  • Rotan, TX
  • NPI 1104808112

  TX

  Medicare reassignment NPD
• Fisher County Hospital District

  • Land Ambulance
  • Rotan, TX
  • NPI 1497878524
  NPD
• Fisher County Hospital District

  • Emergency Medicine Physician
  • Rotan, TX
  • NPI 1699898726
  NPD
• University of North Texas Health Science Center at Fort Worth

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1053416289
  NPD
• University of North Texas Health Science Center at Fort Worth

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fort Worth, TX
  • NPI 1376645564

  Neuromusculoskeletal Medicine & Omm

  NPD
• University of North Texas Health Science Center at Fort Worth

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1659473056
  NPD
• Global Open Wound Care Services LLC

  • Internal Medicine Physician
  • Gretna, NE
  • NPI 1932987864

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1144209552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8332 WHIPPOORWILL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231994",
            "telephone_number": "817-412-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167164",
            "telephone_number": "817-367-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROSKI",
        "first_name": "RICHARD",
        "middle_name": "TODD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q3358",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q3358",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "Q3358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FA812",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01609114",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344044804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FA814",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344044801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TODD",
            "last_name": "DOMBROSKI",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin Patrick Dolan
• Donald Louis Dolce, M.D.
• Harry Anderson Dollahite, MD
• Henry Dollahite, MD
• Elgina Ruth Dollar, OT
• Julia Dombrowsky, PT
• Mia Dominguez- Hitchcock, LCDC, LMSW
• Allison Weber Dominguez, MS, RD, LD
• Estela M Dominguez, AAS
• Sarah Dominguez, LPC

• All providers in Fort Worth, TX
• Neuromusculoskeletal Medicine & OMM Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.