Robert E Belknap MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A24275 Issued in CA

Legal business name

ROBERT E BELKNAP MD INC

Practice address

655 Redwood Hwy
Mill Valley, CA 94941-3034

Phone

(415) 384-0506

Fax

(415) 384-0569

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Belknap, MDNPI 1336217306

Title

Ceo

Phone

(415) 384-0506

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert E Belknap, MD

  • Adult Medicine Physician
  • Mill Valley, CA
  • NPI 1336217306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205009164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413034",
            "telephone_number": "415-384-0506",
            "fax_number": "415-384-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413034",
            "telephone_number": "415-384-0506",
            "fax_number": "415-384-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E BELKNAP MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BELKNAP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-384-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A24275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "A24275",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Goldwasser, MD and Associates
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• Rising Tide Licensed Clinical Social Worker a Professional Corp
• Rite Aid Corporation
• Riverside Radiology Medical Group, Inc.
• Boe Elizabeth Roberts, LMFT
• Noah Gray Roberts, PT, DPT
• Lisa Robertson Veyssiere, LCSW
• Curtis Frank Robinson, M.D.
• Rodney R. Heschong, RPT, Inc.

• Primary Care Clinic/Center in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.