Robert Lowell Anderson, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Minot, ND
NPI 1992836100 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992836100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 10060 (ND)
- Practice address
- One West Burdick Expressway
Minot, ND 58702-5020 - Phone
- (701) 857-5000
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-5620 | ID | MD | Diagnostic Radiology Physician |
| 10060 | ND | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gooding County Hospital District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 10060 | ND | Yes |
| Diagnostic Radiology Physician | 2085R0202X | M-5620 | ID |
Addresses
Primary practice location
One West Burdick Expressway
Minot, ND 58702-5020
Mailing address
3721 N 2544 E
Twin Falls, ID 83301-1003
Phone (208) 732-8025
Other providers in Minot, ND
- Lauren Mae Anderson
- Mary Lee Anderson
- Melissa E Anderson
- Michele Marie Anderson
- Myrna Kay Anderson
- Samantha Anderson
- Leonard Anderson, Sr.
- Tawaski Montrell Anderson
- Thora R Anderson
- Tonya M Anderson
All providers in Minot, ND · Diagnostic Radiology Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.