Active NPI
Robert Bornstein, MD
- Pediatrics Physician
- Richmond, TX
National Provider Identifier
1679571335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L5681
- Practice address
- 1300 Main St
Richmond, TX 77469-3348 - Phone
- (281) 341-9696
- Fax
- (281) 762-6370
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L5681 | TX | Primary |
Addresses
Primary practice location
1300 Main St
Richmond, TX 77469-3348
Mailing address
1300 Main St
Richmond, TX 77469-3348
Phone (257) 617-6855
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335236101 | Medicaid | TX | |
| 20153 | Other | MA | HARVARD/PILGRIM |
| BOA04024 | Other | MA | BC/BS |
| 2024675 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5681 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Past | Accepting new patients | |
| Pediatric Center LTD LLP | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Richmond, TX
- NPI 1053492306
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- Houston, TX
- NPI 1275779225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1679571335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MAIN ST",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693348",
"telephone_number": "257-617-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MAIN ST",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693348",
"telephone_number": "281-341-9696",
"fax_number": "281-762-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNSTEIN",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L5681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335236101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD/PILGRIM",
"identifier": "20153",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "BOA04024",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2024675",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.