Active NPI
Robert O'Connell, M.D.
- Internal Medicine Physician
- Lackland a F B, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD070301L
- Practice address
- 2200 Bergquist Dr
Attn: Credentials (CMC)
Lackland a F B, TX 78236-9907 - Phone
- (210) 292-6707
- NPI assigned
- Apr 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD070301L | PA | Primary |
Addresses
Primary practice location
2200 Bergquist Dr
Attn: Credentials (CMC)
Lackland a F B, TX 78236-9907
Mailing address
2200 Bergquist Dr
Lackland Afb, TX 78236-9907
Phone (210) 292-6707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Internal Medicine
- Education
- University of Pittsburgh School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2866
Hospital & facility affiliations
- Aspirus Wausau Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD070301L | PA | MD | Internal Medicine Physician |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000
Organizations & group practices 29
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.
-
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
- Critical Access Hospital
- Eagle River, WI
- NPI 1346204385
-
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
-
- General Acute Care Hospital
- Woodruff, WI
- NPI 1184673352
-
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1629030135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782369907",
"telephone_number": "210-292-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR",
"address_2": "ATTN: CREDENTIALS (CMC)",
"city": "LACKLAND A F B",
"state": "TX",
"postal_code": "782369907",
"telephone_number": "210-292-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD070301L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lackland a F B, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.