Provider Demographics
NPI:1205835964
Name:WESTERGAN, ROBERT W (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:WESTERGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 COOL SPRINGS BOULEVARD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-468-4384
Mailing Address - Fax:
Practice Address - Street 1:730 COOL SPRINGS BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-7289
Practice Address - Country:US
Practice Address - Phone:615-468-4384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0051375207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL04210OtherBC/BS
FL046471600Medicaid
FL200014789OtherRAILROAD
FL04210OtherBC/BS
FL04210ZMedicare PIN