Individual provider Active NPI

Robert Sherman, M.D.

  • Neurology Physician
  • Palm Harbor, FL
National Provider Identifier
1851612477
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME94622 Issued in FL
Practice address
4556 Glenbrook Dr
Palm Harbor, FL 34683-1563
Phone
(727) 947-4485
Fax
(727) 947-4485
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME94622 FL Primary

Addresses

Primary practice location

4556 Glenbrook Dr
Palm Harbor, FL 34683-1563

Mailing address

4556 Glenbrook Dr
Palm Harbor, FL 34683-1563
Phone (727) 947-4485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190213001546 FL Practitioner - Neurology 4385982552 Practice locations: Palm Harbor, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105374NYMDSocial Worker
ME94622FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Neurological Consultants, P.C. Neurology PastSince Dec 1, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1851612477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4556 GLENBROOK DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831563",
            "telephone_number": "727-947-4485",
            "fax_number": "727-947-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4556 GLENBROOK DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831563",
            "telephone_number": "727-947-4485",
            "fax_number": "727-947-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME94622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.