Healthcare Provider Details

I. General information

NPI: 1639362007
Provider Name (Legal Business Name): EVERETT G ROBERT JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3798 VETERANS MEMORIAL BLVD STE 200
METAIRIE LA
70002-5837
US

IV. Provider business mailing address

3798 VETERANS MEMORIAL BLVD STE 200
METAIRIE LA
70002-5837
US

V. Phone/Fax

Practice location:
  • Phone: 504-454-0141
  • Fax: 504-885-2465
Mailing address:
  • Phone: 504-454-0141
  • Fax: 504-885-2465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD026456
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD 026456
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: