Robert J Gorman, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

29560 Issued in MN

Practice address

5100 Gamble Dr Suite 100-Mail Stop 31200a
Healthpartners West Clinic
St Louis Park, MN 55416-1582

Phone

(952) 541-2500

Fax

(952) 595-6455

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1821074337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-5375",
            "fax_number": "952-595-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 GAMBLE DR SUITE 100-MAIL STOP 31200A",
            "address_2": "HEALTHPARTNERS WEST CLINIC",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161582",
            "telephone_number": "952-541-2500",
            "fax_number": "952-595-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MN",
            "license": "29560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Simone Good, NP
• Samuel Thomas Goracke, CNP
• Carolyn M Gordon
• Natasha Rondano Gorecki
• Jill Gorius, MD
• Brandi Marie Gossard, PHARMD
• Nancy Gossard, WHCNP
• Janet S Gothro, FNP
• Jennifer L Grabner, PT
• Alexandra Rose Graden, M.D.

• Preventive Medicine/Occupational Environmental Medicine Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.