Fred McRae Roberson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33927 Issued in MN

Practice address

1202 5TH Grant Blvd
Lake City Medical Center
Wabasha, MN 55981-1042

Phone

(651) 565-4571

Fax

(651) 565-4818

NPI assigned

Sep 15, 2006

Last updated

Sep 6, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1184720567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17453 SUGARLOAF PKWY",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559927288",
            "telephone_number": "507-732-5843",
            "fax_number": "507-233-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 5TH GRANT BLVD",
            "address_2": "LAKE CITY MEDICAL CENTER",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811042",
            "telephone_number": "651-565-4571",
            "fax_number": "651-565-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "FRED",
        "middle_name": "MCRAE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "33927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Peterson, M.D.
• Cheryl Phyle, DPT
• Ryan Randy Reidt, DPT
• Sharon Riester, FNP
• Brady Ritscher, PHARMD
• Robert J. Mann
• Ruralbasicshc Inc
• Saint Elizabeths Hospital of Wabasha Inc (Gundersen St. Elizabeth's Hospital and Clinics)
• Saint Elizabeths Hospital of Wabasha Inc (Gundersen St. Elizabeth's Hospital and Clinics)
• Saint Elizabeths Hospital of Wabasha Inc (Gundersen St. Elizabeth's Hospital and Clinics)

• Family Medicine Physician in Wabasha, MN
• Providers in Wabasha, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.