Robert William Halterman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11772 Issued in AZ

Practice address

1003 Willow Creek Rd
Prescott, AZ 86301-1641

Phone

(928) 533-9055

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bagdad Consulting Physicians Group

  • Rural Health Clinic/Center
  • Bagdad, AZ
  • NPI 1912118779
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1174528343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W DELANO AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011220",
            "telephone_number": "928-533-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-533-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTERMAN",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "11772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Hale, LMSW
• Theresa Anne Haley, FNP-C
• Jennifer Elizabeth Hall, D.O.
• Kenneth George Hall, MSW
• Lauren Elise Hall, OTD, OTR
• Iyad Sami Hamarneh, MD
• Cheryl Melinda Hamilton, N.M.D.
• Chareese Hammer
• Karleen B Hammitt, MD
• Hancock Chiropractic Inc

• Family Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.