Active NPI
Robert Grumbo, MD
- Emergency Medicine Physician
- Fort Bragg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D60394743
- Practice address
- Womack Family Medicine Residency
BLDG 4-2817 Riley Rd
Fort Bragg, NC 28310-0001 - Phone
- (910) 907-8007
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D60394743 | WA | Primary |
Addresses
Primary practice location
Womack Family Medicine Residency
BLDG 4-2817 Riley Rd
Fort Bragg, NC 28310-0001
Mailing address
Womack Family Medicine Residency
BLDG 4-2817 Riley Rd
Fort Bragg, NC 28310-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Other | STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 W Ollie St
Llano, TX 78643-2628
Phone (325) 247-5040
Hospital & facility affiliations
- Columbus Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.86 of 100
- Quality
- 96.16
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D60394743 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Associates of Central Texas PA | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Department of Health & Human Services PHS IHS | Current | Accepting new patients | |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
Locations
350 E Devon Ave
Itasca, IL 60143
425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199
210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Critical Access Hospital
- Cass Lake, MN
- NPI 1194754382
TX
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1215418280
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Navasota, TX
- NPI 1982642955
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Columbus, TX
- NPI 1740238641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496275200000",
"number": "1245495183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WOMACK FAMILY MEDICINE RESIDENCY",
"address_2": "BLDG 4-2817 RILEY RD",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WOMACK FAMILY MEDICINE RESIDENCY",
"address_2": "BLDG 4-2817 RILEY RD",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUMBO",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2017-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "D60394743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING",
"identifier": "390200000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.