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1134236102

NPI Code Detail

MEDICARE: ROBERT J BUCHANAN MD

MEDICARE: ROBERT J BUCHANAN MD

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	207T00000X	Neurological Surgery Physician	41443	TX
2	2084P0800X	Psychiatry Physician	N2967	TX
3	2084P0800X	Psychiatry Physician	ME175013	FL
4	207T00000X	Neurological Surgery Physician	N2967	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134236102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J BUCHANAN MD

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-9180
Fax Number	:	239-343-9188

Provider Business Practice Location Address
First Line	:	3705 MEDICAL PKWY STE 520
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-1029
Country	:	US
Telephone Number	:	512-298-3637
Fax Number	:

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	09/30/2025

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Directions to “ ROBERT J BUCHANAN MD” Practice Location

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