DR. ROBERT BRADLEY BOCCACCIO (NPI# 1932587730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932587730 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BRADLEY BOCCACCIO |
| Credential | D.O. |
| Practice Address |
505 Omega Dr Arlington TX 76014-2099 |
| Practice Telephone | 8174683255 |
| Practice Fax Number | 8174687823 |
| Mailing Telephone | 8174683255 |
| Mailing Fax Number | 8174687823 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | S1053 | TX | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 5946 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5203 Lake Ridge Pkwy Ste 101, Grand Prairie, TX 750523006 | 8775147739 | 8176333329 |
| 920 Stanton L Young Blvd, Wp 2410, Oklahoma City, OK 731045036 | 4052718787 |
| Street Address |
505 OMEGA DR |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76014-2099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626137 | Keith R Storts | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2005-06-02 |
| 1740834456 | April J Stewart | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2099 | 2019-07-31 |
| 1639631724 | Tonnette Black | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2004 | 2019-04-05 |
| 1558828178 | Tejshri J Gohel | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2004 | 2019-03-01 |
| 1174087415 | Kristen Charleen Hartman | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2004 | 2019-01-30 |
| 1841740164 | Mandy Horne | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2004 | 2016-10-11 |
| 1124349881 | Melodi N Reese-holley | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2010-06-17 |
| 1891972899 | Charmaine Kay Oladell | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2008-01-22 |
| 1043413149 | Stephanie Ann Pickel | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2007-06-06 |
| 1649249053 | Mindy Luck | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629454574 | Melissa Higgins | Physical Therapist | 3050 Center St, Suite 140, Arlington, TX 76014 | 2015-08-03 |
| 1801228739 | A&i Pharmacy LLC | Pharmacy | 100 West Pioneer Pkwy #113b, Arlington, TX 76014 | 2013-08-02 |
| 1275972382 | Dentacare Dental of Collins Pa | Dentist | 2440 S Collins Street, Suite #140, Arlington, TX 76014 | 2013-06-21 |
| 1770826596 | Terry Ngoc Le | Internal Medicine | 3305 Meredith Dr, Arlington, TX 76014 | 2013-03-29 |
| 1407127194 | Top Rx Pharmacy | Pharmacy | 2381 S Collins St, Arlington, TX 76014 | 2012-01-26 |
| 1528344173 | Central Park Dental | Dentist | 3101 S. Center St, Suite #151, Arlington, TX 76014 | 2011-10-27 |
| 1902036239 | Prime Surgical Services | Physician Assistant | 3216 Winston Terrace #411, Arlington, TX 76014 | 2009-07-21 |
| 1588892251 | Yolanda Meashell Snell | Physician Assistant | 3216 Winston Terrace, 411, Arlington, TX 76014 | 2009-07-01 |
| 1780810259 | Cornerstone Pain Management | Anesthesiology | 501 N. Rita Ln, Suite 101, Arlington, TX 76014 | 2009-06-10 |
| 1053551580 | Citimed East | Family Medicine | 3310 S. Watson Road, Arlington, TX 76014 | 2009-02-24 |
| Find all providers in zip 76014 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1487164752 | Uptown Ob/gyn Pa | Obstetrics & Gynecology | 3701 S Cooper St Ste 245, Arlington, TX 76015-3468 | 2017-10-02 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1033571807 | Tulsi Patel | Obstetrics & Gynecology | 1005 N Glebe Rd Ste 430, Arlington, VA 22201-5931 | 2016-03-22 |
| 1003159393 | Jessica Brown | Obstetrics & Gynecology | 1001 N Waldrop Dr Ste 505, Arlington, TX 76012-4703 | 2013-04-04 |
| 1447551551 | Michael Warren Abbott Ivy | Obstetrics & Gynecology | 2909 N Lexington St, Arlington, VA 22207-1438 | 2010-11-04 |
| 1649508110 | Meera Patel | Obstetrics & Gynecology | 811 W I 20 Ste 218, Arlington, TX 76017-5873 | 2009-11-22 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1962607044 | Michael Peter Silvester | Obstetrics & Gynecology | 2206 Marvin Gardens St, Arlington, TX 76011-2636 | 2007-06-18 |
| 1851500359 | Stacy Thomas Oommen | Obstetrics & Gynecology | 515 W Mayfield Rd Ste 200, Arlington, TX 76014-4596 | 2007-05-21 |
| Find all providers in ARLINGTON | ||||
Please comment or provide details below to improve the information on DR. ROBERT BRADLEY BOCCACCIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.