Individual provider Active NPI

Robert James Baldree, PA-C

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1831131820
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04652 Issued in TX
Practice address
7501 Quaker Ave
Lubbock, TX 79424-3367
Phone
(806) 788-3306
Fax
(806) 722-3861
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04652 TX Primary
Hospitalist Physician 208M00000X PA04652 TX

Addresses

Primary practice location

7501 Quaker Ave
Lubbock, TX 79424-3367

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0333

Other practice location 1

3615 19th St
Lubbock, TX 79410-1203
Phone (806) 725-2233

Other practice location 2

1611 Spur 576
Rankin, TX 79778-2001
Phone (432) 693-1200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rbaldree@rankincountyhospital.org Direct
Direct Messaging Address rbaldree@rchd.cernerdirect.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000680 TX Practitioner - Physician Assistant 2961593769 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04652TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rankin County Hospital District CurrentSince Dec 3, 2019 Accepting new patients
Rankin County Hospital District CurrentSince Dec 3, 2019 Accepting new patients
Covenant Medical Group Hospitalist CurrentSince Nov 1, 2023 Accepting new patients
Covenant Medical Group CurrentSince Nov 1, 2023 Accepting new patients

Locations

3509 22nd St
Lubbock, TX 79410
Phone (806) 799-7928

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

1611 Spur 576
Rankin, TX 79778
Phone (432) 693-1200

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a1c02c8d-1bac-499e-a65c-6c958b95811a/

Organizations & group practices 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1831131820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243367",
            "telephone_number": "806-788-3306",
            "fax_number": "806-722-3861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 19th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101203",
            "country_code": "US",
            "telephone_number": "806-725-2233",
            "fax_number": "806-725-0053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 Spur 576",
            "address_purpose": "LOCATION",
            "city": "Rankin",
            "state": "TX",
            "postal_code": "797782001",
            "country_code": "US",
            "telephone_number": "432-693-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDREE",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-09-29",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04652",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "PA04652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbaldree@rankincountyhospital.org",
            "affiliation": "N",
            "endpointDescription": "Rankin County Hospital District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1611 Spur 576",
            "city": "Rankin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797782001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbaldree@rchd.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Rankin County Hospital District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1611 Spur 576",
            "city": "Rankin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797782001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.