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

Robert Montgomery

Individual provider Physician Assistant · NPI 1447787544

Robert Montgomery is a Physician Assistant in Granite City, Illinois. Graduated from Lincoln Memorial University Medical Department in 2016, 10 years ago. Practices with Advanced Pain Relief Center LLC, a 2-clinician group and works from 2 locations. Licensed in Missouri.

Years since qualifying
10
Trained at
Lincoln Memorial University Medical Department
Licensed in
MO
In the registry since
2017

Practice location Address checks out

2861 Madison Ave
Granite City, IL 62040-3614
Phone: (618) 709-7723
Show map & directions

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

Additional practice locations (1)

  • 621 S New Ballas Rd, Saint Louis, MO 63141-8232 — (314) 567-5850

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2017010802 (MO)

Record details

NPI number1447787544
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2017
Last updated in NPPESOctober 17, 2018
Mailing address4221 Highway Kk, New Haven, MO 63068-2146

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2016 (10 years in practice)
Group practice Advanced Pain Relief Center Llc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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