Individual provider Active NPI

Robert S. Pollard, M.D.

  • Surgery Physician
  • Grapevine, TX
National Provider Identifier
1235184433
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
F9967 Issued in TX
Practice address
2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Phone
(817) 267-2678
Fax
(817) 354-0854
NPI assigned
May 24, 2006
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X F9967 TX Primary
Vascular Surgery Physician 2086S0129X F9967 TX

Addresses

Primary practice location

2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766

Mailing address

2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Phone (817) 267-2678

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
I20100830000383 TX Practitioner - General SurgeryPractitioner - Vascular Surgery 4587788468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9967TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grapevine Surgicare Partners LTD PastSince Jun 30, 2004 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Methodist Richardson Medical CenterRichardson, TX, CCN 45S537 Hospital Corporate Director Jan 3, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1235184433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 HALL JOHNSON RD STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518766",
            "telephone_number": "817-267-2678",
            "fax_number": "817-354-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 HALL JOHNSON RD STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518766",
            "telephone_number": "817-267-2678",
            "fax_number": "817-354-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F9967",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "F9967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.