Active NPI
Robert H Legrand, MD
- Neurological Surgery Physician
- San Angelo, TX
National Provider Identifier
1992702898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- E7162
- Practice address
- 211 E College Ave
San Angelo, TX 76903-5902 - Phone
- (325) 655-4164
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | E7162 | TX | Primary |
Addresses
Primary practice location
211 E College Ave
San Angelo, TX 76903-5902
Mailing address
211 E College Ave
San Angelo, TX 76903-5902
Phone (325) 655-4164
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089550001 | Medicaid | TX | |
| 00AL86 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1992702898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E COLLEGE AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035902",
"telephone_number": "325-655-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E COLLEGE AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035902",
"telephone_number": "325-655-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGRAND",
"first_name": "ROBERT",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "E7162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089550001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00AL86",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.