Conrad E. Roberson, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

1099 Issued in NV

Practice address

1910 Idaho St
Suite # 101
Elko, NV 89801-2692

Phone

(775) 738-6256

Fax

(775) 738-9469

NPI assigned

Feb 1, 2007

Last updated

Mar 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: conrad.roberson.p2@direct.elkochc.nextgenshare.com
• Direct secure messaging: conrad.roberson@236331407835140.direct.elationemr.com
• Direct secure messaging: kze9227@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humboldt General Hospital

  • Critical Access Hospital
  • Winnemucca, NV
  • NPI 1750498010
  Medicare reassignment NPD
• Humboldt General Hospital

  • Adult Medicine Physician
  • Winnemucca, NV
  • NPI 1922152784
  Medicare reassignment NPD
• Humboldt General Hospital

  • Land Ambulance
  • Winnemucca, NV
  • NPI 1699899229
  NPD
• PHC-Elko Inc

  dba Northeastern Nevada Regional Hospital

  • Rural Acute Care Hospital
  • Elko, NV
  • NPI 1770674350
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1144368523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 IDAHO ST",
            "address_2": "SUITE #101",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012692",
            "telephone_number": "775-738-6256",
            "fax_number": "775-738-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 IDAHO ST",
            "address_2": "SUITE # 101",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012692",
            "telephone_number": "775-738-6256",
            "fax_number": "775-738-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "CONRAD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "1099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500738",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Starla C Ricks, APN
• Mary J Riley, BSN
• Mayra Celeste Rivas
• Selena N / a Rivera-Obrien
• Iva Robblee
• Robert G Berry Jr Elko Chartered LLC (Elko Spine and Rehabilitation)
• Robert Johnson Bcba LLC (Nevada Behavior and Autism)
• Roberta J. Andreozzi (Prevail Behavioral Health, LLC)
• Grace Roberts
• Debra Susan Robinson

• Obstetrics & Gynecology Physician in Elko, NV
• Providers in Elko, NV by specialty
• Obstetrics & Gynecology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.