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

Robert Southerland, MD

Individual provider Family Medicine Physician · NPI 1730613514

Robert Southerland, MD is a General Practice in Salem, New York. Graduated from Texas a & M University System, Hsc, College of Medicine in 2017, 9 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
NY
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1830 County Route 64
Salem, NY 12865-3404
Phone: (518) 824-2571
Fax: (833) 438-0104
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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 306326 (NY)

Record details

NPI number1730613514
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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