Individual provider Active NPI

Robert L Haydon, MD

  • Family Medicine Physician
  • Brenham, TX
National Provider Identifier
1689788879
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E0966 Issued in TX
Practice address
604 Highway 290 W Ste 301
Brenham, TX 77833-5434
Phone
(979) 421-2000
Fax
(979) 830-5071
NPI assigned
Aug 18, 2006
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E0966 TX Primary

Addresses

Primary practice location

604 Highway 290 W Ste 301
Brenham, TX 77833-5434

Mailing address

PO Box 844658
Dallas, TX 75284-4658

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
I20110824000803 TX Practitioner - Family Practice 3678600681 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Srinivas Rao MD PA CurrentSince Apr 1, 2021 Accepting new patients

Locations

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

635 Medical Pkwy
Brenham, TX 77833
Phone (979) 830-1444

11221 Katy Fwy
Ste 115
Houston, TX 77079
Phone (281) 888-1464

5585 Weslayan St
Houston, TX 77005
Phone (713) 240-4913

3333 Bayshore Blvd
Ste 260
Pasadena, TX 77504

1920 Country Place Pkwy
Ste 110
Pearland, TX 77584
Phone (281) 991-8346

9303 Pinecroft Dr
Ste 350
The Woodlands, TX 77380
Phone (281) 292-0121

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1689788879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 HIGHWAY 290 W STE 301",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335434",
            "telephone_number": "979-421-2000",
            "fax_number": "979-830-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDON",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E0966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.