Active NPI
Robert D Burgos, M.D.
- Gastroenterology Physician
- Mansfield, TX
National Provider Identifier
1952359135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- H4879
- Practice address
- 2300 Lone Star Rd
Mansfield, TX 76063-8744 - Phone
- (682) 341-7210
- Fax
- (682) 341-7212
- NPI assigned
- May 4, 2006
- Last updated
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H4879 | TX | |
| Gastroenterology Physician | 207RG0100X | H4879 | TX | Primary |
Addresses
Primary practice location
2300 Lone Star Rd
Mansfield, TX 76063-8744
Mailing address
PO Box 6278
Fort Worth, TX 76115-0278
Phone (817) 568-5459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H4879 | Other | TX | STATE LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4879 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy L Huggins, M.D., P.a. | Specialist | Current | Accepting new patients |
Locations
1212 Clear Lake Rd
Ste 100
Weatherford, TX 76086
Phone (817) 341-3300
Organizations & group practices 1
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.
-
- Specialist
- Weatherford, TX
- NPI 1194748053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1952359135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6278",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761150278",
"telephone_number": "817-568-5459",
"fax_number": "817-568-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 LONE STAR RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638744",
"telephone_number": "682-341-7210",
"fax_number": "682-341-7212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "H4879",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "H4879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "H4879",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.