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Active NPI 1417492679 Individual Practitioner Male Practitioner

Robert Mc Roberts , CPED

Pedorthist • Bloomer, WI

Professional Overview & Biography Verified Profile Summary

Robert Mc Roberts, CPED is a registered healthcare professional specializing in Pedorthist in Bloomer, WI. Practice services are available at 1706 YORK ST STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1706 York St Ste 3

Bloomer, WI 547241921

Telephone 7155815005
Fax 7155681501
Associated Practice Facility / Clinic
🏢 Active Chiropractic Llc Facility NPI 1780851279

Specialty Benchmarks & Practice Insights

Comparative analytics for Pedorthist in Bloomer, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bloomer, WI (10 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pedorthist Primary Specialty

NUCC Taxonomy Code: 224L00000X

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
✅
NPI Profile Active January 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2018

Registered at 1706 YORK ST STE 3, BLOOMER, WI 547241921 (Tel: 7155815005)

📍
Updated Business Mailing Address January 06, 2018

Registered at 1706 YORK ST, UNIT#3, BLOOMER, WI 547241920 (Tel: 7155779098)

👤
Provider Name / Credentials Updated January 06, 2018

Recorded as ROBERT MC ROBERTS, C.PED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2018

Pedorthist

✅
NPI Profile Active December 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2016

Registered at 1706 YORK ST, UNIT#3, BLOOMER, WI 547241920 (Tel: 7155779098)

📍
Updated Business Mailing Address December 27, 2016

Registered at 1706 YORK ST, UNIT#3, BLOOMER, WI 547241920 (Tel: 7155779098)

👤
Provider Name / Credentials Updated December 27, 2016

Recorded as ROBERT MC ROBERTS, C.PED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2016

Pedorthist

🟢
Initial NPI Registration & Enumeration December 27, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417492679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2016
Last Update: January 06, 2018
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1706 York St, Unit#3

Bloomer, WI 547241920

Phone: 7155779098

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.