Individual provider Active NPI

Robert Brian Wells, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Irving, TX
National Provider Identifier
1164536207
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
J7723 Issued in TX
Practice address
1901 N Macarthur Blvd
Irving, TX 75061-2220
Phone
(972) 579-8100
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X J7723 TX Primary

Addresses

Primary practice location

1901 N Macarthur Blvd
Irving, TX 75061-2220

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

1726 S Beckham Ave
Tyler, TX 75701-4435
Phone (903) 593-0481

Other practice location 2

6800 Scenic Dr
Rowlett, TX 75088-4552
Phone (972) 520-8000

Other identifiers 2

IdentifierTypeStateIssuer
80P183OtherTXBLUE CROSS BLUE SHIELD
038076801MedicaidTX

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rwells1154461@direct.sw.org Direct
Direct Messaging Address rwells1154461@direct.sw.org
Direct Messaging Address rwells1154461@direct.sw.org Direct

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
I20080401000206 TX Practitioner - Pathology 8123104197 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Louisiana State University School of Medicine in Shreveport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1005 W Ralph Hall Pkwy
Suite 121
Rockwall, TX 75032-6663
Phone (469) 698-8555

12505 Lebanon Rd
Frisco, TX 75035-8298
Phone (972) 963-3333

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1901 N Macarthur Blvd
Baylor Scott and White Medical Center Irvin
Irving, TX 75061-2220
Phone (972) 579-8100

2001 N Macarthur Blvd
Suite 250 Baylor Scott and White Women'S Ima
Irving, TX 75061-2284
Phone (972) 579-4270

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

310 E Hwy 67
Baylor Scott and White Charles a. Sammons Can
Duncanville, TX 75137-4159
Phone (469) 800-9000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0100

4001 Worth St
Dallas, TX 75246-1608

5701 Airport Rd
Temple, TX 76502-7092

6800 Scenic Dr
Rowlett, TX 75088-4552
Phone (972) 520-8000

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Baylor Scott & White Medical Center - Centennial Hospital, Frisco, TX, CCN 450885
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Jun 25, 2013 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 3, 2024 Accepting new patients
Scott and White Clinic CurrentSince Jan 6, 2023 Accepting new patients
Pathology Associates of Tyler PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Scott & White Clinic Current Accepting new patients
Healthtexas Provider Network CurrentSince Jun 3, 2024 Accepting new patients
Scott & White Clinic CurrentSince Jan 6, 2023 Accepting new patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Jun 25, 2013 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology Past Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3417 Gaston Ave
Ste 630
Dallas, TX 75246
Phone (469) 800-8900

310 E Highway 67
Duncanville, TX 75137
Phone (469) 800-9000

1110 Parker Sq
Flower Mound, TX 75028
Phone (972) 724-1707

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

2001 N MacArthur Blvd
Ste 250
Irving, TX 75061
Phone (972) 579-4270

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1975 Alpha Dr
#204
Rockwall, TX 75087
Phone (214) 820-7010

6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

1726 S Beckham Ave
Tyler, TX 75701
Phone (903) 593-0481

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

Interoperability endpoints

  • Direct secure messaging: rwells1154461@direct.sw.org

Organizations & group practices 11

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 6

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1164536207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612220",
            "telephone_number": "972-579-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1726 S Beckham Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757014435",
            "country_code": "US",
            "telephone_number": "903-593-0481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Rowlett",
            "state": "TX",
            "postal_code": "750884552",
            "country_code": "US",
            "telephone_number": "972-520-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ROBERT",
        "middle_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J7723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80P183",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038076801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwells1154461@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6800 Scenic Dr",
            "city": "Rowlett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750884552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwells1154461@direct.sw.org",
            "affiliation": "N",
            "address_1": "3417 Gaston Ave Ste 630",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwells1154461@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1901 N MacArthur Blvd",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750612220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.