Organization Active NPI

Robert Gladney, M.D., PLLC

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1144863952
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ROBERT GLADNEY, M.D., PLLC
Practice address
4224 Swiss Ave Ste 201
Dallas, TX 75204-6670
Phone
(214) 821-9938
Fax
(214) 823-2426
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Robert William Gladney, MDNPI 1134507007
Title
Manager
Phone
(214) 821-9938

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4224 Swiss Ave Ste 201
Dallas, TX 75204-6670

Mailing address

4224 Swiss Ave Ste 201
Dallas, TX 75204-6670
Phone (214) 821-9938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200109000697 TX Part B Supplier - Clinic/Group Practice 7618302274 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

4224 Swiss Ave
Ste 201
Dallas, TX 75204
Phone (214) 821-9938

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1144863952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 SWISS AVE STE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046670",
            "telephone_number": "214-821-9938",
            "fax_number": "214-823-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 SWISS AVE STE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046670",
            "telephone_number": "214-821-9938",
            "fax_number": "214-823-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT GLADNEY, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-821-9938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.