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

Robert Dale Spencer, PA

Individual provider Physician Assistant · NPI 1104161025

Robert Dale Spencer, PA is a Physician Assistant in Moss Bluff, Louisiana. Qualified in 2012, 14 years ago. Practices with Lake Charles Urgent Care, a 14-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
14
Licensed in
LA
In the registry since
2012
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 →

Practice location Address checks out

277 N Highway 171 Ste 8
Moss Bluff, LA 70611-5374
Phone: (337) 312-0030
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.200598 (LA)

Record details

NPI number1104161025
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 4, 2012
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lake Charles Urgent Care — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare