Individual provider Active NPI

Robert A. Gardner, M.D.

  • Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1851495485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0015070 Issued in FL
Practice address
2151 45TH St
Suite 208
West Palm Beach, FL 33407-2026
Phone
(561) 881-9100
Fax
(561) 881-9277
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0015070 FL Primary

Addresses

Primary practice location

2151 45TH St
Suite 208
West Palm Beach, FL 33407-2026

Mailing address

2151 45TH St
Suite 208
West Palm Beach, FL 33407-2026
Phone (561) 881-9100

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
I20100416000425 FL Practitioner - General Surgery 2668509019

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851495485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 45TH ST",
            "address_2": "SUITE 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072026",
            "telephone_number": "561-881-9100",
            "fax_number": "561-881-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 45TH ST",
            "address_2": "SUITE 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072026",
            "telephone_number": "561-881-9100",
            "fax_number": "561-881-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0015070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.