Individual provider Active NPI

Robert G Bishop, MD

  • Family Medicine Physician
  • Tishomingo, OK
National Provider Identifier
1306885116
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23875 Issued in OK
Practice address
610 E 24TH St
Tishomingo, OK 73460-3245
Phone
(580) 371-2343
Fax
(580) 371-3614
NPI assigned
Jun 6, 2006
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 23875 OK Primary

Addresses

Primary practice location

610 E 24TH St
Tishomingo, OK 73460-3245

Mailing address

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 387-0509

Other practice location 1

457 S Mississippi Ave
Atoka, OK 74525-2500
Phone (580) 889-4746

Other identifiers 1

IdentifierTypeStateIssuer
100071640DMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041025000330 AR Practitioner - Family PracticePractitioner - General Practice 4082675905 Reassigns benefits to 1 organization
I20260519000231 OK Practitioner - Family Practice 4082675905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Medical Group, PLLCGroup PAC ID 0345334504, 3 clinicians

Practice addresses (Care Compare)

457 S Mississippi Ave
Atoka, OK 74525-2500
Phone (580) 387-0509

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 387-0509

825 Hwy 71 N
Alma, AR 72921-5114
Phone (479) 632-6688

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238755OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Psych Health LLC CurrentSince Jan 29, 2023 Accepting new patients
Van Buren Hma, LLC Family Medicine Current Accepting new patients
Cornerstone Medical Group, PLLC Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
Van Buren Hma Inc Past Accepting new patients
Nes Arkansas, Inc. Past Accepting new patients
Sparks Medical Foundation Past Accepting new patients
Sparks Medical Foundation Family Medicine Past Accepting new patients
Nes Western Arkansas, Inc Past Accepting new patients

Locations

605 Heather Ln
Alma, AR 72921
Phone (479) 407-6051

825 Highway 71 N
Alma, AR 72921
Phone (479) 632-6688

14 Gothic Ridge Rd
Van Buren, AR 72956
Phone (479) 471-0011

Interoperability endpoints

  • Direct secure messaging: robert.bishop@cmgp.eclinicaldirectplus.com

Organizations & group practices 9

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 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1306885116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-387-0509",
            "fax_number": "580-218-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-2343",
            "fax_number": "580-371-3614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 S Mississippi Ave",
            "address_purpose": "LOCATION",
            "city": "Atoka",
            "state": "OK",
            "postal_code": "745252500",
            "country_code": "US",
            "telephone_number": "580-889-4746",
            "fax_number": "580-889-4735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071640D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

Verify at the official NPI Registry.