| Robert Bryan Dorman, MD | |
|
115 Medical Cir Ste 107, Athens, TX 75751-9004 | |
| (903) 675-5781 | |
| (903) 677-1008 |
| Full Name | Robert Bryan Dorman |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 18 Years |
| Location | 115 Medical Cir Ste 107, Athens, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740423839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E-8173 (Arkansas) | Secondary |
| 208600000X | Surgery | S4461 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
| Ut Health East Texas Jacksonville Hospital | Jacksonville, TX | Hospital |
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 309 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Entity Name | Healogics Specialty Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285051094 PECOS PAC ID: 6709002777 Enrollment ID: O20140728002064 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Bryan Dorman, MD 1101 S Horsebarn Rd, Rogers, AR 72758-8237 Ph: (479) 271-9607 | Robert Bryan Dorman, MD 115 Medical Cir Ste 107, Athens, TX 75751-9004 Ph: (903) 675-5781 |
Dr. Danny P Pugh, Surgery Medicare: Accepting Medicare Assignments Practice Location: 115 Medical Cir, Suite 107, Athens, TX 75751 Phone: 903-675-5781 Fax: 903-677-1008 |