Individual provider Active NPI

Robert Coleman Stewart, DO

  • Psychiatry Physician
  • Davie, FL
National Provider Identifier
1619407475
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS17492 Issued in FL
Practice address
5400 S University Dr Ste 217
Davie, FL 33328-5310
Phone
(954) 900-2931
Fax
(954) 909-0174
NPI assigned
Jun 14, 2017
Last updated
May 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X OS17492 FL
Internal Medicine Physician 207R00000X OS17492 FL
Psychiatry Physician 2084P0800X OS17492 FL Primary

Addresses

Primary practice location

5400 S University Dr Ste 217
Davie, FL 33328-5310

Mailing address

1111 Brickell Bay Dr Apt 709
Miami, FL 33131-2954
Phone (435) 668-1979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702000259 FL Practitioner - Psychiatry 0547661175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sol Community Center, CorpGroup PAC ID 8325456593, 5 clinicians

Practice addresses (Care Compare)

9380 Sunset Dr
Suite B240
Miami, FL 33173-5483
Phone (786) 534-4979

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17492FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ebenezer Wellness Center Inc Psychiatry CurrentSince May 11, 2024 Accepting new patients
Sol Community Center, Corp CurrentSince Jul 18, 2024 Accepting new patients
Bregman Psychiatry LLC Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Doctors Collaborative Care Solutions Psychiatry PastSince Jul 1, 2021 Accepting new patients

Locations

1550 Madruga Ave
Ste 406
Coral Gables, FL 33146
Phone (305) 740-3340

1200 NW 78th Ave
Ste 210
Doral, FL 33126
Phone (305) 551-3003

9380 Sunset Dr
Ste B240
Miami, FL 33173
Phone (786) 534-4979

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1619407475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BRICKELL BAY DR APT 709",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312954",
            "telephone_number": "435-668-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 217",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285310",
            "telephone_number": "954-900-2931",
            "fax_number": "954-909-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ROBERT",
        "middle_name": "COLEMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17492",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS17492",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS17492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.