Individual provider Active NPI

Fred W Rohm, DO

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1407894926
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1565 Issued in TX
Practice address
6108 Oakbend TRL # 102
Fort Worth, TX 76132-3917
Phone
(817) 294-4959
Fax
(817) 294-1324
NPI assigned
Jun 4, 2006
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F39109 TX
Family Medicine Physician 207Q00000X J1565 TX Primary

Addresses

Primary practice location

6108 Oakbend TRL # 102
Fort Worth, TX 76132-3917

Mailing address

6108 Oakbend TRL # 102
Fort Worth, TX 76132-3917
Phone (817) 294-4959

Other identifiers 2

IdentifierTypeStateIssuer
0029BKOtherTXBCBS
137380506MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 817-294-1324 Direct

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
I20051208000879 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1850312521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brett L. Cochrum, MD, PAGroup PAC ID 4981785961, 2 clinicians

Practice addresses (Care Compare)

6108 Oakbend TRL
Suite 102
Fort Worth, TX 76132-3917
Phone (817) 294-4959

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F39109TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett L. Cochrum, MD, PA Family Medicine CurrentSince Feb 16, 2022 Accepting new patients
W Brian Byrd MD PA Family Medicine CurrentSince May 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

6108 Oakbend Trl
#102
Fort Worth, TX 76132
Phone (817) 294-4959

6100 Harris Pkwy
Ste 250
Ft Worth, TX 76132
Phone (817) 433-5133

Interoperability endpoints

  • Direct secure messaging: fred.rohm@brettc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDHACD/Endpoint/HDHACD

Organizations & group practices 3

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 5

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1407894926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 OAKBEND TRL # 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323917",
            "telephone_number": "817-294-4959",
            "fax_number": "817-294-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 OAKBEND TRL # 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323917",
            "telephone_number": "817-294-4959",
            "fax_number": "817-294-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHM",
        "first_name": "FRED",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F39109",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0029BK",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137380506",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "817-294-1324",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "6108 Oakbend Trl # 102",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761323917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.