Robert Bidwell, M.D.
Individual provider Active NPI Family Medicine Physician · Amarillo, TX
NPI 1457367443 · NPPES record last updated Apr 1, 2020
Key facts
- NPI
- 1457367443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- H4168 (TX)
- Practice address
- 3113 Ross St
Amarillo, TX 79103-2700 - Phone
- (806) 374-7341
- Fax
- (806) 322-0533
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regence Health Network Inc
Practice addresses (Care Compare)
3113 Ross St
Amarillo, TX 79103-2700
Phone (806) 374-7341
Hospital & facility affiliations
- Bsa Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Regence Health Network Inc |
Federally qualified health center | Operational/Managerial Control | Oct 1, 2009 |
| Regence Health Network Inc |
Federally qualified health center | Operational/Managerial Control | Oct 1, 2009 |
| Regence Health Network Inc |
Federally qualified health center | Contracted Managing Employee | Jun 1, 2006 |
| Regence Health Network Inc |
Federally qualified health center | Operational/Managerial Control | Oct 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060810000512 | TX | Practitioner - Family Practice | 5698778751 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regence Health Network Inc | Current |
Accepting new patients | |
| Regence Health Network Inc | Current |
Accepting new patients |
Locations
3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341
850 Martin Rd
Amarillo, TX 79107
Phone (806) 374-7341
2801 W 8th St
Plainview, TX 79072
Phone (806) 293-0921
Interoperability endpoints
- robert.bidwell.1@12120.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H4168 | TX | Yes |
Addresses
Primary practice location
3113 Ross St
Amarillo, TX 79103-2700
Mailing address
3113 Ross St
Amarillo, TX 79103-2700
Phone (806) 374-7341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138819117 | Medicaid | TX | |
| 8V3537 | Other | TX | BCBS TX |
| P00642527 | Other | TX | MEDICARE RAILROAD |
Other providers in Amarillo, TX
- Suhani Bhakta
- Smita Bhaskaran
- Raktima Bhattacharya
- Michael C Bibler
- Gayle H Bickers
- Matthew Bigelow
- Biggers Chiropractic, P.a.
- Anthony Shane Biggers
- Sarah Biggs
- William Curtis Biggs
All providers in Amarillo, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.