Individual provider Active NPI

Michael Robert Jarrard, M.D.

  • Occupational Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1295956787
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
L1896 Issued in TX
Practice address
BNSF Railway
2500 Lou Menk Dr Aob-GL
Fort Worth, TX 76131
Phone
(817) 352-1604
Fax
(817) 352-7507
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X A44684 CA
Occupational Medicine Physician 2083X0100X L1896 TX Primary

Addresses

Primary practice location

BNSF Railway
2500 Lou Menk Dr Aob-GL
Fort Worth, TX 76131

Mailing address

BNSF Railway
2500 Lou Menk Dr Aob-GL
Fort Worth, TX 76131
Phone (817) 352-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44684CAMDOccupational Medicine Physician
L1896TXMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295956787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BNSF RAILWAY",
            "address_2": "2500 LOU MENK DR AOB-GL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76131",
            "telephone_number": "817-352-1604",
            "fax_number": "817-352-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BNSF RAILWAY",
            "address_2": "2500 LOU MENK DR AOB-GL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76131",
            "telephone_number": "817-352-1604",
            "fax_number": "817-352-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRARD",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A44684",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "L1896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.