ROBERT FREDRICK ANDERSON DPMMD NPI 1417064411

NPI Information

NPI: 1417064411
Provider Name: ROBERT FREDRICK ANDERSON, DPM,MD
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
12 ACME RD
SUITE #206
BREWER, ME
ZIP 04412
Phone: (207) 262-9562
Get Directions

Robert Fredrick Anderson, DPM,MD is a podiatrist in Brewer, ME. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Robert Fredrick Anderson, DPM,MD NPI is 1417064411. 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:

12 ACME RD
SUITE #206
BREWER, ME
ZIP 04412-546
Phone: (207) 262-9562
Fax: (207) 262-9564

The enumeration date for this NPI number is 8/24/2006 and was last updated on 2/20/2012.

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	207Q00000X	Family Medicine		012968	MAINE	No
2	213E00000X	Podiatrist		POD1028	MAINE	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	010474554	OTHER	MAINE	MEDNET
2	E89937	MEDICARE UPIN	MAINE
3	MM8084	MEDICARE ID-TYPE UNSPECIFIED	MAINE
4	E89937	OTHER	MAINE	HARVARD PILGRIM
5	039571	OTHER	MAINE	ANTHEM BC BS
6	433002600	MEDICAID	MAINE
7	3015281	OTHER	MAINE	AETNA

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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