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

Mr. Robert Herzog, PA

Individual provider Physician Assistant · NPI 1902963614

Mr. Robert Herzog, PA is a Physician Assistant in Carbondale, Illinois. Qualified in 2003, 23 years ago. Practices with Marshall Browning Hospital Association, a 30-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2601 W Main St
Carbondale, IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 905 N Washington Street, Du Quoin, IL 62832-6283 — (618) 542-1050
  • 900 N Washington St, Du Quoin, IL 62832-1233 — (618) 542-1050
  • 405 Rushing Dr, Herrin, IL 62948-3730 — (618) 993-3000
  • 502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968 — (618) 937-3400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-002116 (IL)

Record details

NPI number1902963614
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESOctober 13, 2023
Certification dateOctober 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Marshall Browning Hospital Association — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carbondale