Active NPI
Robert A Seegmiller, PH.D., ABPP
- Clinical Neuropsychologist
- Jbsa Fort Sam Houston, TX
National Provider Identifier
1154392041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1439-057
- Practice address
- Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Fort Sam Houston, TX 78234 - Phone
- (210) 916-7641
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1439-057 | WI | Primary |
Addresses
Primary practice location
Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Fort Sam Houston, TX 78234
Mailing address
Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Fort Sam Houston, TX 78234
Phone (210) 916-7641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1439-057 | WI | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1154392041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DR.",
"city": "JBSA FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-7641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DR.",
"city": "JBSA FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-7641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEGMILLER",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WI",
"license": "1439-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.