Active NPI
Robert L. Murdock, MD, PC
- Psychiatry Physician
- Roanoke, VA
National Provider Identifier
1104904861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101046233
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7119003 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.