# DR. ROBERT W HEIDEPRIEM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619959673
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 00023846 | AL | — |
| 2086S0129X | Vascular Surgery Physician | 109337 | GA | Yes |
| 2086S0129X | Vascular Surgery Physician | ME159968 | FL | — |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 02/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009941562 | — | AL |
| 01 | — | 1700875 | UNITED HEALTHCARE | AL |
| 01 | — | 2081367 | CIGNA | AL |
| 01 | — | 208500240 | AETNA | AL |
| 01 | — | 51539627 | BLUE CROSS- | AL |
| 01 | — | 51540026 | BLUE CROSS- ST VINCENTS | AL |
| 01 | — | 51540027 | BLUE CROSS-TRINITY | AL |
| 01 | — | 51544310 | BLUE CROSS - PRINCETON | AL |
| 01 | — | 51590936 | BLUE CROSS- SHELBY | AL |
| 01 | — | H85594 | VIVA | AL |
| 01 | — | P00381059 | RR MEDICARE | AL |