LAURA BROCHARD ROBERTSON
NPI 1205465218
Student in an Organized Health Care Education/Training Program in Oakland, CA

Q: What is Laura Robertson's NPI number?

The NPI number for Laura Robertson is 1205465218. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Laura Robertson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Robertson was last updated on April 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2020PECOS Enrolled

747 52ND ST STE 245, OAKLAND, CA 94609(510) 428-3331(510) 601-3979 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Laura Brochard Robertson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA BROCHARD ROBERTSON (NPI 1205465218) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205465218

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLAURA BROCHARD ROBERTSON

Location Address747 52ND ST STE 245Oakland, CA 94609-1809

Mailing Address747 52nd St Ste 245Oakland, CA 94609-1809 · (510) 428-3331 · Fax (510) 601-3979

Phone(510) 428-3331

Fax(510) 601-3979

Sole ProprietorYes

Enumeration DateApril 2, 2020

NPPES CertifiedApril 2, 2020

✔ NPI 1205465218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

747 52ND ST STE 245, Oakland, CA 94609

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Brochard Robertson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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