MEDICARE: DR. ROBERT REECE NEWSOME SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	L7824	TX
2	2085R0202X	Diagnostic Radiology Physician	MD.024590	LA

General Provider Information

NPI Number	:	1124001656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT REECE NEWSOME SR. M.D.

Provider Business Mailing Address
First Line	:	1514 JEFFERSON HWY
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121-2429
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7520 PERKINS RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-9111
Country	:	US
Telephone Number	:	225-769-6700
Fax Number	:	225-768-7608

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	01/13/2023

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