Robert Vanderbrook, MD, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301079028 Issued in MI

Legal business name

ROBERT VANDERBROOK, MD, PLLC

Practice address

301 E 4TH St
Clare, MI 48617-1547

Phone

(989) 424-6508

Fax

(989) 424-6511

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Robert Vanderbrook, M.D.NPI 1336112937

Title

Physician/Owner

Phone

(989) 424-6508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Robert Vanderbrook, M.D.

  • Family Medicine Physician
  • Clare, MI
  • NPI 1336112937
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1649649666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 4TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171547",
            "telephone_number": "989-424-6508",
            "fax_number": "989-424-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 4TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171547",
            "telephone_number": "989-424-6508",
            "fax_number": "989-424-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT VANDERBROOK, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "VANDERBROOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "989-424-6508",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301079028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Clare, MI
• Providers in Clare, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.