DR. ROBERT LEON CROCKER M.D. NPI 1356580542

NPI Information

  • NPI: 1356580542
  • Provider Name: DR. ROBERT LEON CROCKER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4264 E RIDGE DR
    JACKSON, MS
    ZIP 39211
  • Phone: (601) 421-9177

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NPI Details

DR. Robert Leon Crocker, M.D. is a family medicine in Jackson, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Robert Leon Crocker, M.D. NPI is 1356580542. 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:

4264 E RIDGE DR
JACKSON, MS
ZIP 39211-100
Phone: (601) 421-9177

The enumeration date for this NPI number is 2/11/2009 and was last updated on 2/11/2009.

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
1207Q00000XFamily Medicine11127NEW HAMPSHIRENo
2207Q00000XFamily Medicine25MA07091200NEW JERSEYNo
3207Q00000XFamily Medicine200001571NORTH CAROLINANo
4207Q00000XFamily Medicine8386NORTH DAKOTANo
5207Q00000XFamily Medicine22710OKLAHOMANo
6207Q00000XFamily MedicineMD12756TENNESSEENo
7207Q00000XFamily Medicine042-0010301VERMONTNo
8207Q00000XFamily MedicineA70404CALIFORNIANo
9207Q00000XFamily Medicine040080CONNECTICUTNo
10207Q00000XFamily MedicineC1-0006033DELAWARENo
11207Q00000XFamily Medicine11849HAWAIINo
12207Q00000XFamily Medicine36653KENTUCKYNo
13207Q00000XFamily Medicine118044MISSOURINo
14207Q00000XFamily Medicine9902MONTANANo
15207Q00000XFamily Medicine08720MISSISSIPPIYes

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: 3/30/2025

NPI Synchronization or Removal

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