Active NPI
Robert W Andrews, MD
- Urology Physician
- Durham, NC
National Provider Identifier
1255332730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 28938
- Practice address
- 205 Frasier St
Durham, NC 27704-2125 - Phone
- (919) 477-7003
- Fax
- (919) 471-2827
- NPI assigned
- Aug 9, 2005
- Last updated
- Jun 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 28938 | NC | Primary |
Addresses
Primary practice location
205 Frasier St
Durham, NC 27704-2125
Mailing address
205 Frasier St
Durham, NC 27704-2125
Phone (919) 477-7003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8911396 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28938 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1255332730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 FRASIER ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042125",
"telephone_number": "919-477-7003",
"fax_number": "919-471-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 FRASIER ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042125",
"telephone_number": "919-477-7003",
"fax_number": "919-471-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "28938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911396",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.