Individual provider Active NPI

Roger R Robinson, MD

  • Child & Adolescent Psychiatry Physician
  • Fort Worth, TX
National Provider Identifier
1376766931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
H6553 Issued in TX
Practice address
1701 River Run Road
Ste 700
Fort Worth, TX 76107-6579
Phone
(817) 338-1860
Fax
(817) 335-1659
NPI assigned
Apr 11, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X H6553 TX Primary

Addresses

Primary practice location

1701 River Run Road
Ste 700
Fort Worth, TX 76107-6579

Mailing address

1701 River Run Road
Ste 700
Fort Worth, TX 76107-6579
Phone (817) 338-1860

Other names 1

  • Roger Robinson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160707000062 TX Order and Referring Only - PsychiatryPractitioner - Psychiatry 5395980031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6553TXMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376766931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN ROAD",
            "address_2": "STE 700",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076579",
            "telephone_number": "817-338-1860",
            "fax_number": "817-335-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN ROAD",
            "address_2": "STE 700",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076579",
            "telephone_number": "817-338-1860",
            "fax_number": "817-335-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ROGER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "H6553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROGER",
            "last_name": "ROBINSON",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.