Dr. Robert Bradford Mims , MD
Specialist • Santa Rosa, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Mims has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Mims, MD was a registered Specialist practicing in Santa Rosa, CA. Throughout an active medical career spanning 17 years, Dr. Mims provided care at the practice location at 5500 WILSHIRE DR until profile deactivation on 2024-09-18.
Practice Location & Contact Primary Location
5500 Wilshire Dr
Santa Rosa, CA 954041056
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Santa Rosa, CA
Practicing in Santa Rosa, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 18, 2024
NPI status registered as active in NPPES database
Registered at 5500 WILSHIRE DR, SANTA ROSA, CA 954041056 (Tel: 7075453801)
Registered at 5500 WILSHIRE DR, SANTA ROSA, CA 954041056 (Tel: 7075453801)
Recorded as ROBERT MIMS, M D
Specialist (License #C232310 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5500 Wilshire Dr
Santa Rosa, CA 954041056
Phone: 7075453801
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