Dr. Robert James Dougherty, MD

Family Medicine in Bastrop, TX. Individual provider (NPI-1).

NPI number1114935210

StatusActive

Last updated in NPPESNov 17, 2025

Details

NPI: 1114935210
Entity type: Individual (NPI-1)
Name: Dr. Robert James Dougherty
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Aug 4, 2006
Certification date: Nov 17, 2025
Last updated: Nov 17, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	L2226	TX	Yes

Practice location

623 Highway 71 W Ste 204
Bastrop, TX 78602-4166

Phone 512-581-5016 · Fax 512-581-5022

Mailing address

623 Highway 71 W Ste 204
Bastrop, TX 78602-4166

Phone 512-581-5016 · Fax 512-987-5987

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Bastrop, TX

All 27 Family Medicine Physician providers in Bastrop · All 552 providers in Bastrop

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