Individual provider Active NPI

Dennis Jay Robinson, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Lackland AFB, TX
National Provider Identifier
1225016694
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05629 Issued in TX
Practice address
2200 Berquist Drive
Suite 1 Attn: Credentials (CMC)
Lackland AFB, TX 78236-6300
Phone
(830) 719-1943
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05629 TX Primary

Addresses

Primary practice location

2200 Berquist Drive
Suite 1 Attn: Credentials (CMC)
Lackland AFB, TX 78236-6300

Mailing address

2200 Berquist Drive
Suite 1 Attn: Credentials (CMC)
Lackland AFB, TX 78236-6300
Phone (830) 719-1943

Other practice location 1

6565 West Loop S Ste 525
Bellaire, TX 77401-3519
Phone (713) 661-7888

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026000659 TX Practitioner - Physician Assistant 3870869449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05629TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wilford Hall Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1225016694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERQUIST DRIVE",
            "address_2": "SUITE 1 ATTN: CREDENTIALS (CMC)",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782366300",
            "telephone_number": "830-719-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERQUIST DRIVE",
            "address_2": "SUITE 1 ATTN: CREDENTIALS (CMC)",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782366300",
            "telephone_number": "830-719-1943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 West Loop S Ste 525",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774013519",
            "country_code": "US",
            "telephone_number": "713-661-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DENNIS",
        "middle_name": "JAY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackland AFB, TX

Sources for this page

Verify at the official NPI Registry.