Individual provider Active NPI

Bernardo Roblesgil, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Baytown, TX
National Provider Identifier
1790822286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
21165 Issued in TX
Practice address
1004 W Sterling St
Baytown, TX 77520-4201
Phone
(281) 422-0511
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 21165 TX Primary

Addresses

Primary practice location

1004 W Sterling St
Baytown, TX 77520-4201

Mailing address

2834 Sea Channel Dr
Seabrook, TX 77586-1638
Phone (832) 217-0961

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901002785 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2860765492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21165TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Hughes DDS Inc Oral and Maxillofacial Surgery Past Accepting new patients
Baytown Oral & Maxillofacial Surgery Associates Oral and Maxillofacial Surgery 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790822286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 SEA CHANNEL DR",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775861638",
            "telephone_number": "832-217-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W STERLING ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775204201",
            "telephone_number": "281-422-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLESGIL",
        "first_name": "BERNARDO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "21165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.