Organization Active NPI

Robert L. Murdock, MD, PC

  • Psychiatry Physician
  • Roanoke, VA
National Provider Identifier
1104904861
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101046233 Issued in VA
Legal business name
ROBERT L. MURDOCK, MD, PC
Practice address
4045 Postal Dr
Roanoke, VA 24018-6439
Phone
(540) 776-0175
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Murdock, MD
Title
Psychiatrist
Phone
(540) 776-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0101046233 VA Primary

Addresses

Primary practice location

4045 Postal Dr
Roanoke, VA 24018-6439

Mailing address

4045 Postal Dr
Roanoke, VA 24018-6439

Other identifiers 1

IdentifierTypeStateIssuer
7119003MedicaidVA

National Provider Directory

National Provider Directory

Locations

4923 Colonial Ave
Ste B
Roanoke, VA 24018
Phone (540) 725-8800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104904861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 POSTAL DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 POSTAL DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186439",
            "telephone_number": "540-776-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. MURDOCK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "540-776-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101046233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119003",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.