Individual provider Active NPI

Andrew P Rockwood, M.D.

  • Urology Physician
  • Fredericksburg, TX
National Provider Identifier
1629158134
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H1407 Issued in TX
Practice address
213 E San Antonio St
Fredericksburg, TX 78624-4137
Phone
(830) 997-0813
Fax
(830) 997-6443
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X H1407 TX Primary

Addresses

Primary practice location

213 E San Antonio St
Fredericksburg, TX 78624-4137

Mailing address

213 E San Antonio St
Fredericksburg, TX 78624-4137
Phone (830) 997-0813

Other identifiers 1

IdentifierTypeStateIssuer
1206146-04MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000242 TX Practitioner - Urology 5092887364 Practice locations: Fredericksburg, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1629158134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E SAN ANTONIO ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244137",
            "telephone_number": "830-997-0813",
            "fax_number": "830-997-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E SAN ANTONIO ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244137",
            "telephone_number": "830-997-0813",
            "fax_number": "830-997-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWOOD",
        "first_name": "ANDREW",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H1407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1206146-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.