Active NPI
Bobbie H Colbert, M.D.
- Pediatrics Physician
- Beaumont, TX
National Provider Identifier
1811990245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E8398
- Practice address
- 3570 College St Ste 405
Beaumont, TX 77701-4683 - Phone
- (409) 333-1284
- NPI assigned
- May 31, 2005
- Last updated
- Mar 31, 2021
- 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 | E8398 | TX | Primary |
Addresses
Primary practice location
3570 College St Ste 405
Beaumont, TX 77701-4683
Mailing address
2929 Calder St
Suite 100
Beaumont, TX 77702-1845
Phone (409) 833-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135200704 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bobbiecolbert@mhccaremail.com | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- md_-_bobbie_colbert@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1811990245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 CALDER ST",
"address_2": "SUITE 100",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021845",
"telephone_number": "409-833-9797",
"fax_number": "409-839-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 COLLEGE ST STE 405",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014683",
"telephone_number": "409-333-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "BOBBIE",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "E8398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135200704",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bobbiecolbert@mhccaremail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3570 College St Ste 405",
"city": "Beaumont",
"state": "TX",
"country_code": "US",
"postal_code": "777014683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaumont, TX
- April Cockerham, MSN, RN, APRN, FNP-C
- Sam Joseph Coco, PT
- Latoya Danielle Cofer, BEHAVIOR ASSISTANT
- Brandi Phelan Coffin III, M.S.CCC-A
- Colbert Health and Wellness LLC (The body shoppe)
- Charisse Colbert, DDS
- Christle Denise Colbert, M.D.
- Cole Realestate LLC
- Cole Vision Corporation (Sears Optical #C0015)
- Jaime Lynn Cole
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.