Individual provider Active NPI

Robert Allen Bauer Jr., FNP

  • Family Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1427099530
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
658019 Issued in TX
Practice address
571 W Main St Ste 100
Lewisville, TX 75057-3667
Phone
(972) 436-9785
Fax
(972) 436-6068
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 658019 TX Primary
Family Nurse Practitioner 363LF0000X 118322 OK

Addresses

Primary practice location

571 W Main St Ste 100
Lewisville, TX 75057-3667

Mailing address

571 W Main St Ste 100
Lewisville, TX 75057-3667
Phone (972) 436-9785

Other identifiers 1

IdentifierTypeStateIssuer
184689107MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000393 TX Practitioner - Nurse Practitioner 5890797559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
BBC Healthcare Group, PLLCGroup PAC ID 0042649295, 5 clinicians

Practice addresses (Care Compare)

571 W Main St
Suite 100
Lewisville, TX 75057-3667
Phone (972) 436-9785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BBC Healthcare Group, PLLC CurrentSince May 1, 2023 Accepting new patients
Peterson Medical Associates CurrentSince Jul 24, 2017 Accepting new patients

Locations

1740 Junction Hwy
Kerrville, TX 78028
Phone (830) 257-3800

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

823 Junction Hwy
Kerrville, TX 78028
Phone (830) 258-6300

571 W Main St
Ste 100
Lewisville, TX 75057
Phone (972) 436-9785

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1427099530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573667",
            "telephone_number": "972-436-9785",
            "fax_number": "972-436-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573667",
            "telephone_number": "972-436-9785",
            "fax_number": "972-436-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "658019",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "118322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184689107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.