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Deactivated NPI 1245440411 Deactivated / Inactive NPI Male Practitioner

Dr. Bob L Carpenter , MD

Specialist • Glen Rose, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bob Carpenter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2007
NPI Deactivation Date February 01, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Bob Carpenter, MD was a registered Specialist practicing in Glen Rose, TX. Throughout an active medical career spanning 10 years, Dr. Carpenter provided care at the practice location at 107 LILLY AVE until profile deactivation on 2017-02-01.

Practice Location & Contact Primary Location

Practice Address

107 Lilly Ave

Glen Rose, TX 760434867

Telephone 9722222330
Fax 9722222330

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Glen Rose, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Glen Rose, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX 20067

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 01, 2017

Record deactivated on February 01, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 107 LILLY AVE, GLEN ROSE, TX 760434867 (Tel: 9722222330)

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Updated Business Mailing Address July 08, 2007

Registered at 107 LILLY AVE, GLEN ROSE, TX 760434867 (Tel: 9722222330)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BOB CARPENTER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #20067 in TX)

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Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245440411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: July 08, 2007
Deactivation Date: February 01, 2017

Mailing Address

107 Lilly Ave

Glen Rose, TX 760434867

Phone: 9722222330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.