Individual provider Active NPI

Valorie R Robertson, M. D.

  • Family Medicine Physician
  • Bulverde, TX
National Provider Identifier
1184646663
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5194 Issued in TX
Practice address
2795 Bulverde Rd
Bulverde, TX 78163-2195
Phone
(830) 980-2435
Fax
(830) 980-4915
NPI assigned
Jul 24, 2006
Last updated
Apr 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J5194 TX Primary

Addresses

Primary practice location

2795 Bulverde Rd
Bulverde, TX 78163-2195

Mailing address

PO Box 38
Bulverde, TX 78163-0038
Phone (830) 980-2435

Other identifiers 5

IdentifierTypeStateIssuer
J5194OtherTXSTATE LICENSE NUMBER
0025DHOtherTXBCBS NUMBER
080132314OtherTXRAILROAD MEDICARE
K0087437OtherTXTX CONTROLLED SUBSTANCE
BR3912296OtherTXUS CONTROLLED SUBSTANCE

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
I20131018001445 TX Order and Referring Only - Family PracticePractitioner - Family Practice 5890881163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valorie Robertson, M.D., P.a. Family Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1184646663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781630038",
            "telephone_number": "830-980-2435",
            "fax_number": "830-980-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 BULVERDE RD",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632195",
            "telephone_number": "830-980-2435",
            "fax_number": "830-980-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "VALORIE",
        "middle_name": "R",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "J5194",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "0025DH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080132314",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX CONTROLLED SUBSTANCE",
            "identifier": "K0087437",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US CONTROLLED SUBSTANCE",
            "identifier": "BR3912296",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulverde, TX

Sources for this page

Verify at the official NPI Registry.