NPI 1417064411 · live from the CMS NPI Registry
Robert Fredrick Anderson, DPM,MD
Podiatrist in Brewer, ME. National Provider Identifier 1417064411, active.
NPI record
| NPI | 1417064411 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 12 Acme Rd, Suite #206, Brewer, ME 04412 |
| Practice phone | 207-262-9562 |
| Enumerated | August 24, 2006 |
| Last updated | February 20, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 012968 (ME) |
| Podiatrist primary | 213E00000X | POD1028 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.