Active NPI
Robert D Garrison, M.D.
- Emergency Medicine Physician
- Lewisville, TX
National Provider Identifier
1922084144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- K8903
- Practice address
- 500 W Main St
Lewisville, TX 75057-3641 - Phone
- (972) 758-3598
- NPI assigned
- Dec 20, 2005
- Last updated
- Apr 24, 2013
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | K8903 | TX | Primary |
Addresses
Primary practice location
500 W Main St
Lewisville, TX 75057-3641
Mailing address
PO Box 201606
Dallas, TX 75320-1606
Phone (972) 758-3598
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160817605 | Medicaid | TX | |
| 8J2006 | Other | TX | BCBS |
| 160817603 | Medicaid | TX | |
| 0037PJ | Other | TX | BCBS |
| 160817606 | Medicaid | TX | |
| 8K9268 | Other | TX | BCBS |
| P00323512 | Other | TX | MEDICARE RAILROAD |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Medicine Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| Denton Erdocs PA | Emergency Medicine | Past | Accepting new patients |
Locations
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1376581900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1922084144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201606",
"city": "DALLAS",
"state": "TX",
"postal_code": "753201606",
"telephone_number": "972-758-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573641",
"telephone_number": "972-758-3598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "K8903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160817605",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8J2006",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160817603",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0037PJ",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160817606",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8K9268",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00323512",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.