Individual provider Active NPI

Robert Bradley Boccaccio, D.O.

  • Obstetrics & Gynecology Physician
  • Arlington, TX
National Provider Identifier
1932587730
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S1053 Issued in TX
Practice address
505 Omega Dr
Arlington, TX 76014-2099
Phone
(817) 468-3255
Fax
(817) 468-7823
NPI assigned
May 12, 2015
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S1053 TX Primary
Obstetrics & Gynecology Physician 207V00000X 5946 OK

Addresses

Primary practice location

505 Omega Dr
Arlington, TX 76014-2099

Mailing address

505 Omega Dr
Arlington, TX 76014-2099
Phone (817) 468-3255

Other practice location 1

920 Stanton L Young Blvd
WP 2410
Oklahoma City, OK 73104-5036
Phone (405) 271-8787

Other practice location 2

5203 Lake Ridge Pkwy Ste 101
Grand Prairie, TX 75052-3006
Phone (877) 514-7739

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
I20190709002381 TX Practitioner - Obstetrics/Gynecology 6608175658 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians
Dallas Medical Specialists, PLLCGroup PAC ID 3072895788, 86 clinicians

Practice addresses (Care Compare)

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (864) 908-3530

3201 Matlock Rd
Suite 220
Arlington, TX 76015-2947
Phone (682) 282-6648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.37 of 100Reported as group
Quality
68.64
Promoting interoperability
99
Improvement activities
40
Cost
73.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5946OKMDGeneral Practice Dentistry
S1053TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jun 14, 2022 Accepting new patients
HCA Houston OB Hospitalist, PLLC Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Dallas Medical Specialists, PLLC Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
Columbia Medical Center of Arlington Subsidiary LP Past Accepting new patients
Questcare Obstetrics PLLC Obstetrics & Gynecology Past Accepting new patients
Lonestar Provider Network Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3201 Matlock Rd
Ste 220
Arlington, TX 76015
Phone (682) 282-6648

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste C300
Dallas, TX 75230
Phone (972) 566-6000

2101 Westpark Ct
Ste 200
Euless, TX 76040

900 Jerome St
Ste 204
Fort Worth, TX 76104
Phone (817) 885-7827

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3101 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 349-4663

1308 Paluxy Rd
Ste 205
Granbury, TX 76048
Phone (817) 489-7450

3095 Kingswood Blvd
Ste 250
Grand Prairie, TX 75052
Phone 2143582300 ext. 6225

5203 Lake Ridge Pkwy
Ste 101
Grand Prairie, TX 75052
Phone (682) 218-5400

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

Interoperability endpoints

  • Direct secure messaging: robert.boccaccio@hca7.eclinicaldirectplus.com

Organizations & group practices 8

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 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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1932587730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 OMEGA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142099",
            "telephone_number": "817-468-3255",
            "fax_number": "817-468-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 OMEGA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142099",
            "telephone_number": "817-468-3255",
            "fax_number": "817-468-7823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Stanton L Young Blvd",
            "address_2": "WP 2410",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045036",
            "country_code": "US",
            "telephone_number": "405-271-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5203 Lake Ridge Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750523006",
            "country_code": "US",
            "telephone_number": "877-514-7739",
            "fax_number": "817-633-3329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCCACCIO",
        "first_name": "ROBERT",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S1053",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "5946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.