Organization Active NPI

Robert Judge

  • Family Medicine Physician
  • Berne, IN
National Provider Identifier
1649444522
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT JUDGE
Practice address
1521 W Main St
Berne, IN 46711-1796
Phone
(260) 589-2312
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Robert JudgeNPI 1952405581
Title
Owner
Phone
(260) 589-2312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1521 W Main St
Berne, IN 46711-1796

Mailing address

1521 W Main St
Berne, IN 46711-1796
Phone (260) 589-2312

Other identifiers 1

IdentifierTypeStateIssuer
200171050AMedicaidIN

National Provider Directory

National Provider Directory

Locations

1521 W Main St
Berne, IN 46711
Phone (260) 589-2312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1649444522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 W MAIN ST",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467111796",
            "telephone_number": "260-589-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W MAIN ST",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467111796",
            "telephone_number": "260-589-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JUDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-589-2312"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200171050A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.