Robert Fritz Poulard, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-00014 Issued in NC

Practice address

2817 Reilly Road
Fort Bragg, NC 28310

Phone

(910) 907-7000

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Bertie County Rural Health AssociationGroup PAC ID 8325949167, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health Bertie Hospital Hospital, Windsor, NC, CCN 341304

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.poulard.1@12412.direct.athenahealth.com

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.

• Bertie County Rural Health Association

  • Federally Qualified Health Center (FQHC)
  • Windsor, NC
  • NPI 1396886842
  Medicare reassignment Care Compare group NPD (past)
• Bertie County Rural Health Association

  • Federally Qualified Health Center (FQHC)
  • Windsor, NC
  • NPI 1053577452
  NPD
• Franklin Regional Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Louisburg, NC
  • NPI 1942530530
  NPD
• Bertie County Rural Health Association

  • Clinic Pharmacy
  • Windsor, NC
  • NPI 1801427711
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Carolina Health-Bertie

  • Critical Access Hospital
  • Windsor, NC
  • NPI 1013999705
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1427146505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ROAD",
            "address_2": "WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ROAD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULARD",
        "first_name": "ROBERT",
        "middle_name": "FRITZ",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427146505",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberton Porter, DO
• Winston Posvar, OD
• Kara Potaracke, LCSW
• Bradley Potts, M.D.
• Mark A Potts, LCSW
• Alisha Powell
• William Joseph Powers Jr., DDS
• Janelle Chamae Prescott, LMFT,MCAP,ICADC
• Laura B. Pressley, PNP
• Nicole Presti, PHD, RD

• Physician Assistant in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.