Robert Fredrick Anderson, DPM,MD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD1028 Issued in ME

Practice address

12 Acme Rd
Suite #206
Brewer, ME 04412-1546

Phone

(207) 262-9562

Fax

(207) 262-9564

NPI assigned

Aug 24, 2006

Last updated

Feb 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Robert F Anderson D.P.M.,M.D.,P.a.

  • Primary Podiatric Medicine Podiatrist
  • Bangor, ME
  • NPI 1699931121
  Authorized official Same address or phone
• Sunbury Primary Care, P.a.

  dba Bangor Family Medicine

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1508939398
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1417064411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ACME RD",
            "address_2": "SUITE #206",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121546",
            "telephone_number": "207-262-9562",
            "fax_number": "207-262-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ACME RD",
            "address_2": "SUITE #206",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121546",
            "telephone_number": "207-262-9562",
            "fax_number": "207-262-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROBERT",
        "middle_name": "FREDRICK",
        "credential": "DPM,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "012968",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD1028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "039571",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3015281",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "E89937",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDNET",
            "identifier": "010474554",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433002600",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly D. Allen, O.D.
• Mansour Almarhoon, M.D
• Erdem Altunel, MD
• Vijay A Amarendran, MD
• Judy Anderson
• Astrid C Andreescu, MD
• Arcadia Health Services, Inc. (Arcadia Home Care & Staffing)
• Ellen A Arey, RN
• Henry H Atkins, MD
• Autumn of Life in Home Care

• Podiatrist in Brewer, ME
• Providers in Brewer, ME by specialty
• Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.