DR. ROBERT DEWEY VANDENBERG M.D. NPI 1033181003

NPI Information

NPI: 1033181003
Provider Name: DR. ROBERT DEWEY VANDENBERG, M.D.
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
4044 15TH AVE SE
SUITE A
LACEY, WA
ZIP 98503
Phone: (360) 491-4460
Get Directions

DR. Robert Dewey Vandenberg, M.D. is a geriatric medicine family medicine in Lacey, WA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Robert Dewey Vandenberg, M.D. NPI is 1033181003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4044 15TH AVE SE
SUITE A
LACEY, WA
ZIP 98503-962
Phone: (360) 491-4460
Fax: (360) 491-3090

The enumeration date for this NPI number is 2/3/2006 and was last updated on 12/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine	MD00028460	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AB 26407	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	B45084	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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