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ROBERT LAWRENCE LONG M.D. NPI 1356317002


NPI Information

NPI: 1356317002
Provider Name: ROBERT LAWRENCE LONG, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Organization: ANDALUSIA PHYSICIAN PRACTICES LLC

PECOS Registration: Yes

Address:
909 MAR WALT DR
SUITE 1011
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-3377
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Robert Lawrence Long, M.D. is an urology in Fort Walton Beach, FL with 49 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Robert Lawrence Long, M.D. NPI is 1356317002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:1975

The provider's business location address is:

909 MAR WALT DR
SUITE 1011
FORT WALTON BEACH, FL
ZIP 32547-635
Phone: (850) 863-3377

The NPI 1356317002 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Ultrasound of rectum (HCPCS:76872)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Biopsy of prostate gland (HCPCS:55700)

The enumeration date for this NPI number is 2/23/2006 and was last updated on 12/8/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyME0043999FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11193377OTHERFLORIDAWELLCARE
247173MEDICARE PINFLORIDA
3102I347262MEDICARE PINALABAMA
4P00728665OTHERFLORIDARR MEDICARE
547173WMEDICARE PINFLORIDA
647173OTHERFLORIDABCBS OF FL
7160003096MEDICARE PINFLORIDA
8382563OTHERFLORIDAAVMED
9C78505MEDICARE UPINFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.