Active NPI
Robert Michael Galbraith, D.O.
- Sports Medicine (Family Medicine) Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- S9506
- Practice address
- 3310 Patriot Dr
Tyler, TX 75701-6606 - Phone
- (039) 877-7200
- Fax
- (903) 939-7878
- NPI assigned
- Jun 22, 2006
- Last updated
- Apr 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S9506 | TX | |
| Family Medicine Physician | 207Q00000X | 11013077A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | S9506 | TX | Primary |
Addresses
Primary practice location
3310 Patriot Dr
Tyler, TX 75701-6606
Mailing address
11937 US Highway 271
Tyler, TX 75708-3154
Phone (903) 877-7200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2114 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 284-6105
2116 E Rusk St
Jacksonville, TX 75766-9052
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013077A | IN | MD | Family Medicine Physician |
| S9506 | TX | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at Tyler-Facility-Physician | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current | Accepting new patients | |
| Ault McInnis PLLC | Family Medicine | Current | Accepting new patients |
| Memorial Hospital of South Bend | Past | Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
3310 Patriot Dr
Tyler, TX 75701
Phone (903) 877-8925
Organizations & group practices 6
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.
-
dba Family First of Jacksonville
- Family Medicine Physician
- Jacksonville, TX
- NPI 1942587159
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Tyler, TX
- NPI 1063400778
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
dba UT Health East Texas Physicians Overton
- Rural Health Clinic/Center
- Overton, TX
- NPI 1689496812
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Rehabilitation Hospital
- Tyler, TX
- NPI 1174021695
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1609802859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271",
"city": "TYLER",
"state": "TX",
"postal_code": "757083154",
"telephone_number": "903-877-7200",
"fax_number": "903-939-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 PATRIOT DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757016606",
"telephone_number": "039-877-7200",
"fax_number": "903-939-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALBRAITH",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S9506",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11013077A",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "S9506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.