Individual provider Active NPI

Robert R Stock, M.D.

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1356321335
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 66353 Issued in FL
Practice address
4501 N Davis Hwy
Pensacola, FL 32503-2724
Phone
(508) 476-9000
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 ME 66353 FL Primary

Addresses

Primary practice location

4501 N Davis Hwy
Pensacola, FL 32503-2724

Mailing address

4724 N Davis Hwy
Pensacola, FL 32503-2339
Phone (850) 696-4000

Other identifiers 5

IdentifierTypeStateIssuer
080183917OtherFLRAILROSD MEDICARE
379379600MedicaidFL
592-12983OtherALBCBSAL
A025OtherFLHEALTH FIRST NETWORK
27559OtherFLBLUE CROSS BLUE SHIELD FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 66353FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Physicians Group PA Family Medicine Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Baptist Physician Enterprise LLC Family Medicine Past Accepting new patients
Medical Professional Agency Inc Past Accepting new patients

Locations

2569 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 932-0440

3810 Highway 90
Pace, FL 32571
Phone (850) 476-9000

1717 N E St
Ste 401
Pensacola, FL 32501
Phone (850) 444-7050

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

9400 University Pkwy
Ste 101C
Pensacola, FL 32514
Phone (850) 208-6400

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

Interoperability endpoints

  • Direct secure messaging: robert.stock.1@9582.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1356321335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032339",
            "telephone_number": "850-696-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032724",
            "telephone_number": "508-476-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 66353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROSD MEDICARE",
            "identifier": "080183917",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379379600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "592-12983",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST NETWORK",
            "identifier": "A025",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "27559",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.