Robert Brooke Jeffrey Jr., M.D.

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

G30905 Issued in CA

Practice address

300 Pasteur Dr Dept Radiology # H-1307
Stanford University Medical Center
Stanford, CA 94305-2200

Phone

(650) 723-8310

Fax

(650) 723-1909

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164587689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26627 SNELL LN",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940222039",
            "telephone_number": "650-949-1543",
            "fax_number": "650-949-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR DEPT RADIOLOGY # H-1307",
            "address_2": "STANFORD UNIVERSITY MEDICAL CENTER",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-8310",
            "fax_number": "650-723-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "ROBERT",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "G30905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G309050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safwan Salim Jaradeh, MD
• Vivian Sha Jay
• Lakshmi Andal Jayaram, MBCHB
• Eric Daniel Jayne, MD
• Olivia Dew Joan Jee, MD
• Stefanie Jeffrey, MD
• Michele Jehenson, DDS
• Erica Lynn Jensen, MD
• Kristin Clare Jensen, MD
• Michael Ryan Jensen, MD, PHD

• Body Imaging Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Body Imaging Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.