Individual ProviderRobert O'ConnellInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2200 Bergquist Dr, Attn: Credentials (Cmc), Lackland A F B, TX 78236-9907(210) 292-6707PECOS EnrollmentBased on the most recent information from CMS, provider Robert O'Connell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1629030135Provider TypeIndividualFull NameO'Connell, RobertTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/3/2006Last Updated10/31/2025Contact InformationPractice LocationPractice Address2200 Bergquist Dr, Attn: Credentials (Cmc), Lackland A F B, TX 78236-9907Phone(210) 292-6707FaxUnlisted FaxMailing LocationMailing Address2200 Bergquist Dr, Lackland Afb, TX 78236-9907Phone(210) 292-6707FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD070301LPennsylvania