Boxley Hill Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101043731 Issued in VA

Legal business name

BOXLEY HILL CLINIC INC

Practice address

5501 Williamson Rd
Roanoke, VA 24012-1439

Phone

(540) 362-1616

Fax

(540) 362-8234

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert S Lucas, MD

Title

Owner

Phone

(540) 362-1616

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Robert S Lucas MD Other name

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1164612974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121439",
            "telephone_number": "540-362-1616",
            "fax_number": "540-362-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121439",
            "telephone_number": "540-362-1616",
            "fax_number": "540-362-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOXLEY HILL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-362-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101043731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "394048",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CB0245",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert S Lucas MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Eric Bowman, D.C.
• Celena Arlet Bowman, PT
• Conner Stuart Bowman, PT, DPT
• Mackenzie Shay Bowman
• Michael Bowyer
• Susan S Boyes, LPC
• Jamie Brackenrich, FNP
• Wayne Lee Brackenrich, D.O.
• Vicki W Brackett, M.S.,CCC-SLP
• Laura Swatzyna Bradford

• Family Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.