Roberto Sergio Bisonni, M.D.

Key facts

NPI

1346216686

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

J8916 (TX)

Practice address

1804 FM 646 Rd W
Suite J
Dickinson, TX 77539-3232

Phone

(281) 534-0400

Fax

(281) 534-0440

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2007.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1346216686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 FM 646 RD W",
            "address_2": "SUITE J",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393232",
            "telephone_number": "281-534-0400",
            "fax_number": "281-534-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 FM 646 RD W",
            "address_2": "SUITE J",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393232",
            "telephone_number": "281-534-0400",
            "fax_number": "281-534-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISONNI",
        "first_name": "ROBERTO",
        "middle_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

• Balbino Beltre II, D.D.S.
• Deborah Bennett
• Taryone Elaine Bernstine, FNP
• Jenna Katherine Betcher, RD
• Bio-Medical Applications of Texas, Inc.
• Sarah Jean Blanchfield, PHARM. D
• Mary Lynn Boatwright, LPC; LMFT
• Howard Boland, M.D.
• Jontaye Bonds, LPC
• Nicole Breaux, RPH

All providers in Dickinson, TX · Family Medicine Physician in Texas