Robert J. Egan, M.D., PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ROBERT J. EGAN, M.D., PLLC

Practice address

1310 Nicolet PL
Detroit, MI 48207-2838

Phone

(313) 549-3149

NPI assigned

Dec 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert Joseph Egan, M.D.

Title

Manager

Phone

(313) 549-3149

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714867200000",
    "number": "1295133320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 NICOLET PL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072838",
            "telephone_number": "313-549-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NICOLET PL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072838",
            "telephone_number": "313-549-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. EGAN, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-549-3149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH28008 003",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebony M Robbs, MS, MA, CADC, SATS
• Christian M Roberson
• Jacquelyn R. Roberson, M.D.
• Marcelle K Roberson, BA
• Shaiprece Roberson
• Roberto J William MD
• Marielle Roberts-McDonald, MD
• Alan Roberts, CRNA
• Alexandria Denise Roberts
• Andrew Lawrence Roberts, MD

• Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.