Individual provider
VERNON ROBERTSON
CMS NPPES lists VERNON ROBERTSON as an individual provider record with NPI 1417405002. The current record reports a primary practice location in ABERDEEN, MS and primary taxonomy code 133V00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location400 S CHESTNUT STABERDEEN, MS 397303335
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
133V00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- September 13, 2016
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.