Individual provider Active NPI

Robert Earl Brumbelow, OD

  • Optometrist
  • Huntsville, TX
National Provider Identifier
1982600474
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5228TG Issued in TX
Practice address
2 Financial PLZ
Ste 801
Huntsville, TX 77340-3500
Phone
(936) 295-2020
Fax
(936) 295-4171
NPI assigned
Jun 21, 2005
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5228TG TX Primary

Addresses

Primary practice location

2 Financial PLZ
Ste 801
Huntsville, TX 77340-3500

Mailing address

2 Financial PLZ
Ste 801
Huntsville, TX 77340-3500
Phone (936) 295-2020

Other identifiers 1

IdentifierTypeStateIssuer
102492903MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.brumbelow@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000715 TX Practitioner - Optometry 2163557869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

2 Financial PLZ
Suite 801
Huntsville, TX 77340-3500
Phone (936) 295-2020

3100 Weslayan St
Suite 400
Houston, TX 77027-5752
Phone (713) 526-1600

605 Medical CT
Suite 203
Brenham, TX 77833-5406
Phone (979) 830-1444

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
81.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Jul 1, 2003 Accepting new patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Jul 1, 2003 Accepting new patients
Clear Lake Eye Center LLP Optometrist Past Accepting new patients

Locations

605 Medical Ct
Ste 203
Brenham, TX 77833
Phone (979) 353-5556

1256 N Mechanic St
El Campo, TX 77437
Phone (713) 526-1600

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

2 Financial Plz
Ste 801
Huntsville, TX 77340
Phone (936) 295-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1982600474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FINANCIAL PLZ",
            "address_2": "STE 801",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773403500",
            "telephone_number": "936-295-2020",
            "fax_number": "936-295-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FINANCIAL PLZ",
            "address_2": "STE 801",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773403500",
            "telephone_number": "936-295-2020",
            "fax_number": "936-295-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBELOW",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5228TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102492903",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.brumbelow@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "2 Financial Plz",
            "address_2": "Ste 801",
            "city": "Huntsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773403500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.