Individual provider Active NPI

Robert Gale Woodrome, M.D.

  • Family Medicine Physician
  • Splendora, TX
National Provider Identifier
1265476998
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1499 Issued in TX
Practice address
14006 Old Highway 59 N
Splendora, TX 77372-6302
Phone
(281) 689-6901
Fax
(281) 689-6779
NPI assigned
Jun 15, 2006
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 L1499 TX Primary

Addresses

Primary practice location

14006 Old Highway 59 N
Splendora, TX 77372-6302

Mailing address

PO Box 1939
Livingston, TX 77351-0037
Phone (936) 327-9944

Other practice location 1

1930 U S Highway 190 W
Livingston, TX 77351-9600
Phone (936) 327-9944

Other identifiers 1

IdentifierTypeStateIssuer
8V4300OtherTXBLUE CROSS/BLUE SHIELD

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
I20041027000298 TX Practitioner - Family PracticePractitioner - Emergency Medicine 5597727115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14006 Old Hwy 59 N
Splendora, TX 77372-6302
Phone (281) 686-6901

14181 US Hwy 190 W
Onalaska Family Clinic
Onalaska, TX 77360-8091
Phone (936) 646-7541

1930 US Hwy 190 W
Total Health and Wellness Clinic
Livingston, TX 77351-9600
Phone (936) 327-9944

613 W Bluff
Dogwood Family Clinic
Woodville, TX 75979-5125
Phone (409) 331-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodrome Medical PA Legal Medicine CurrentSince Mar 20, 2006 Accepting new patients
North Houston Family Medicine PLLC Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Cypresswood Physicians PLLC Past Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients
Memorial Hospital San Augustine Past Accepting new patients
Bellville Hospital District Past Accepting new patients
Yoakum Community Hospital Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients

Locations

14181 US Highway 190 W
Onalaska, TX 77360
Phone (936) 646-7541

2950 Cullen Blvd
Ste 101
Pearland, TX 77584
Phone (281) 977-7444

24540 FM 1314 Rd
Porter, TX 77365
Phone (281) 354-4009

11 Carrier Ave
Shepherd, TX 77371

14006 Old Highway 59 N
Splendora, TX 77372
Phone (281) 689-6901

151 Cypresswood Dr
Spring, TX 77388
Phone (832) 286-1664

25312 Interstate 45 N
Ste A
The Woodlands, TX 77386
Phone (832) 261-4808

106 W Main St
Trinity, TX 75862
Phone (936) 594-2076

613 W Bluff St
Woodville, TX 75979
Phone (409) 283-3739

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8249/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCBCA
  • Direct secure messaging: robert.woodrome.2@11939.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 11

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1265476998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1939",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773510037",
            "telephone_number": "936-327-9944",
            "fax_number": "936-327-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14006 OLD HIGHWAY 59 N",
            "city": "SPLENDORA",
            "state": "TX",
            "postal_code": "773726302",
            "telephone_number": "281-689-6901",
            "fax_number": "281-689-6779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 U S Highway 190 W",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TX",
            "postal_code": "773519600",
            "country_code": "US",
            "telephone_number": "936-327-9944",
            "fax_number": "936-327-9945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODROME",
        "first_name": "ROBERT",
        "middle_name": "GALE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8V4300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Splendora, TX

Sources for this page

Verify at the official NPI Registry.