Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Robert C Masterson, DO

Individual provider Family Medicine Physician · NPI 1053358853

Dr. Robert C Masterson, DO is a Family Practice in Vicksburg, Mississippi. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1992, 34 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
34
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MS
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1901 Mission 66
Vicksburg, MS 39180-3711
Phone: (601) 636-8244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 14322 (MS)

Record details

NPI number1053358853
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1901 Mission 66, Vicksburg, MS 39180-3711

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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