Robert Michael Farrell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F-1539 Issued in TX

Practice address

1007 Phillip Circle
East Bernard, TX 77435

Phone

(979) 257-8193

Fax

(979) 335-4825

NPI assigned

Jun 30, 2015

Last updated

Jun 30, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dr. Farrell Family Practice

  • Urgent Care Clinic/Center
  • East Bernard, TX
  • NPI 1396176608
  NPD (past) Authorized official

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1598148397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 PHILLIP CIRCLE",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "77435",
            "telephone_number": "979-257-8193",
            "fax_number": "979-335-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PHILLIP CIRCLE",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "77435",
            "telephone_number": "979-257-8193",
            "fax_number": "979-335-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F-1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Bernard Emergency Medical Services Inc
• East Bernard Isd
• East Bernard Primemed Clinic
• Eric S Kucera
• Everion RX
• Jakob Jordan Jalowy, DDS
• James J. Jalowy, D.D.S.
• Jeffrey Alan Jalowy, D.D.S.
• Janna Janish, M.D.
• Timothy Holmes Johnston, L.M.T.

• Family Medicine Physician in East Bernard, TX
• Providers in East Bernard, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.