Robert Lee Coburn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2386 Issued in TX

Practice address

211 N Columbia Dr
West Columbia, TX 77486-2518

Phone

(979) 345-3181

Fax

(979) 345-1473

NPI assigned

Aug 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert L Coburn DC PCGroup PAC ID 1658315460, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Robert L. Coburn, D.C.,P.C.

  • Chiropractor
  • West Columbia, TX
  • NPI 1568560142
  Medicare reassignment Care Compare group Authorized official
• BC Chiros LLC

  • Chiropractor
  • Lake Jackson, TX
  • NPI 1750053955
  Medicare reassignment NPD

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1700078995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N COLUMBIA DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774862518",
            "telephone_number": "979-345-3181",
            "fax_number": "979-345-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N COLUMBIA DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774862518",
            "telephone_number": "979-345-3181",
            "fax_number": "979-345-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruthie M Battisejohnican, LVN
• Deborah Boyd, PA-C
• Cesar Huerta Cantu, LCDCI
• Carolyn Wood Dba Bay City Eldercare
• Central Emergency Medical Services, Inc. (Central EMS)
• Columbia Dental
• Columbia Dental and Orthodontics PLLC
• Columbia-Brazoria Isd
• CVS Pharmacy Inc (CVS Pharmacy # 07470)
• Barbara A Davenport, LICENSED MIDWIFE

• Chiropractor in West Columbia, TX
• Providers in West Columbia, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.