Elizabeth Bertucci Robertson, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD.205346 Issued in LA

Practice address

200 Petroleum Dr
Lafayette
Lafayette, LA 70508-3880

Phone

(337) 988-9999

Fax

(337) 984-7003

NPI assigned

Apr 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elizabeth Brandon Bertucci Former name

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": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1467695247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PETROLEUM DR",
            "address_2": "LAFAYETTE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083880",
            "telephone_number": "337-988-9999",
            "fax_number": "337-984-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PETROLEUM DR",
            "address_2": "LAFAYETTE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083880",
            "telephone_number": "337-988-9999",
            "fax_number": "337-984-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ELIZABETH",
        "middle_name": "BERTUCCI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "MD.205346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BERTUCCI",
            "middle_name": "BRANDON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachael Y Roberts, M.D.
• Renavia Roberts
• Christian Robertson, LAT, ATC
• Davielle Robertson
• Elisabeth Robertson, MA. CCC-SLP
• Imari Aiyana Robertson I
• Jennifer Riley Robertson, PHARM.D.
• Karmyn Robertson
• Markela Robertson, LCSW
• Tanya Fanette Robertson

• Allergy & Immunology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Allergy & Immunology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.