DR. ROBERT HERNDON M.D. NPI 1124034590

NPI Information

NPI: 1124034590
Provider Name: DR. ROBERT HERNDON, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
2500 NORTH STATE STREET
JACKSON, MS
ZIP 39216
Phone: (601) 984-5500
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DR. Robert Herndon, M.D. is a neurology psychiatry neurology in Jackson, MS. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Robert Herndon, M.D. NPI is 1124034590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 NORTH STATE STREET
JACKSON, MS
ZIP 39216
Phone: (601) 984-5500
Fax: (601) 984-5499

The enumeration date for this NPI number is 7/31/2006 and was last updated on 12/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	15210	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	130000147	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
2	P01233213	OTHER	MISSISSIPPI	RAILROAD MEDICARE
3	C49616	MEDICARE UPIN	MISSISSIPPI
4	0121287	MEDICAID	MISSISSIPPI
5	512I30004	MEDICARE PIN	MISSISSIPPI
6	302I137022	MEDICARE PIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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