Active NPI
Robert D. Menzies, MD, PLLC
- Interventional Pain Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- M3643
- Legal business name
- ROBERT D. MENZIES, MD, PLLC
- Practice address
- 7148 Trail Lake Dr
Fort Worth, TX 76123-1969 - Phone
- (817) 294-0934
- NPI assigned
- Jul 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert David Menzies, M.D.
- Title
- Owner
- Phone
- (817) 294-0934
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | M3643 | TX | Primary |
Addresses
Primary practice location
7148 Trail Lake Dr
Fort Worth, TX 76123-1969
Mailing address
7148 Trail Lake Dr
Fort Worth, TX 76123-1969
Phone (817) 294-0934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196007201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
211 M and M Ranch Rd
Ste 101
Granbury, TX 76049
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Interventional Pain Medicine Physician
- Ft Worth, TX
- NPI 1336658236
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1225235179
-
- Family Nurse Practitioner
- Fort Worth, TX
- NPI 1316310170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373846400000",
"number": "1639510936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7148 TRAIL LAKE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761231969",
"telephone_number": "817-294-0934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7148 TRAIL LAKE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761231969",
"telephone_number": "817-294-0934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT D. MENZIES, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-15",
"last_updated": "2013-07-15",
"status": "A",
"authorized_official_last_name": "MENZIES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-294-0934",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "M3643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196007201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.