Individual provider Active NPI

Robert Collins Greer V, D.O.

  • General Practice Physician
  • Lake Park, FL
National Provider Identifier
1134483282
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS12260 Issued in FL
Practice address
624 US 1
Lake Park, FL 33403-2916
Phone
(561) 844-2464
Fax
(561) 844-1250
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS12260 FL Primary

Addresses

Primary practice location

624 US 1
Lake Park, FL 33403-2916

Mailing address

624 US 1
Lake Park, FL 33403-2916
Phone (561) 844-2464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130816000202 FL Practitioner - General Practice 1355583659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert C Greer IV,D.O.,P.a.Group PAC ID 0840475893, 2 clinicians

Practice addresses (Care Compare)

624 US
Suite 1
Lake Park, FL 33403-2916

624 US Hwy 1
Lake Park, FL 33403-2916
Phone (561) 844-2464

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS12260FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C Greer IV,D.O.,P.a. CurrentSince Jul 17, 2013 Accepting new patients

Locations

624 US Highway 1
West Palm Beach, FL 33403
Phone (561) 844-2464

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1134483282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 US 1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032916",
            "telephone_number": "561-844-2464",
            "fax_number": "561-844-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 US 1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032916",
            "telephone_number": "561-844-2464",
            "fax_number": "561-844-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "ROBERT",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS12260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

Verify at the official NPI Registry.