Individual provider Active NPI

Antonio Reeves Rozier, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mansfield, TX
National Provider Identifier
1831366475
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
P8726 Issued in TX
Practice address
2800 E Broad St Ste 514
Mansfield, TX 76063-6417
Phone
(682) 253-2986
Fax
(682) 717-2874
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X P8726 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 514
Mansfield, TX 76063-6417

Mailing address

PO Box 3749
Arlington, TX 76007-3749

Other identifiers 2

IdentifierTypeStateIssuer
355683902MedicaidTX
377044801MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141211001301 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8123278082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Boston University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 N Miller Rd
Suite 300
Mansfield, TX 76063-9106
Phone (682) 253-2986

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P8726TXMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J. Hong, DO, PLLC CurrentSince Jul 30, 2021 Accepting new patients
Zen Interventional Pain and Wellness Center PLLC CurrentSince May 8, 2015 Accepting new patients
Ortho Spine Surgery Institute PA CurrentSince Nov 2, 2014 Accepting new patients

Locations

1115 E Arkansas Ln
Ste B
Arlington, TX 76010
Phone (682) 304-0533

120 N Miller Rd
Ste 300
Mansfield, TX 76063
Phone (682) 341-7510

2800 E Broad St
Ste 316
Mansfield, TX 76063
Phone (682) 253-2986

2800 E Broad St
Ste 514
Mansfield, TX 76063
Phone (682) 253-2986

8801 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 616-0700

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1831366475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3749",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760073749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 514",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636417",
            "telephone_number": "682-253-2986",
            "fax_number": "682-717-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZIER",
        "first_name": "ANTONIO",
        "middle_name": "REEVES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "P8726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355683902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377044801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.