Roberto Sergio Bisonni, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J8916 Issued in 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

Last updated

Aug 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "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": []
}

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

• Family Medicine Physician in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.