NPIMap

Individual provider Active NPI

Brian R Robinson, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Bolivar, MO
National Provider Identifier
1821063413
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2023008322 Issued in MO
Practice address
1155 W Parkview St Ste 2J
Bolivar, MO 65613-8598
Phone
(417) 328-7000
Fax
(417) 328-1142
NPI assigned
Feb 17, 2006
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 27529 MT
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2023008322 MO Primary

Addresses

Primary practice location

1155 W Parkview St Ste 2J
Bolivar, MO 65613-8598

Mailing address

1155 W Parkview St Ste 2J
Bolivar, MO 65613-8598
Phone (417) 328-7000

Other identifiers 2

IdentifierTypeStateIssuer
200128464MedicaidMO
1821063413OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140915002708 MT Practitioner - Endocrinology 7113926197 Reassigns benefits to 1 organization
I20230913000821 MO Practitioner - Endocrinology 7113926197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Oklahoma State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Memorial HealthcareGroup PAC ID 4183528169, 144 clinicians

Practice addresses (Care Compare)

Bolivar, MO 65613
Phone (417) 328-6631

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023008322MOMDEndocrinology, Diabetes & Metabolism Physician
27529MTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health CurrentSince Aug 1, 2014 Accepting new patients
St Peter's Health Current Accepting new patients
St. Peter's Health CurrentSince Aug 1, 2014 Accepting new patients
Citizens Memorial Healthcare CurrentSince Aug 1, 2023 Accepting new patients
Citizens Memorial Healthcare CurrentSince Aug 1, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1155 W Parkview St
Ste 2J
Bolivar, MO 65613
Phone (417) 328-7000

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

2550 E Broadway St
Helena, MT 59601
Phone (406) 495-6805

Organizations & group practices 6

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1821063413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W PARKVIEW ST STE 2J",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656138598",
            "telephone_number": "417-328-7000",
            "fax_number": "417-328-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W PARKVIEW ST STE 2J",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656138598",
            "telephone_number": "417-328-7000",
            "fax_number": "417-328-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MT",
            "license": "27529",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2023008322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200128464",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821063413",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

Verify at the official NPI Registry.