Individual provider Active NPI

Robert J Bettini, MD

  • Obstetrics & Gynecology Physician
  • Burke, VA
National Provider Identifier
1316971609
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101019403 Issued in VA
Practice address
9004 Crownwood CT
Burke, VA 22015-1630
Phone
(703) 978-5440
Fax
(703) 978-0764
NPI assigned
Jul 10, 2006
Last updated
Jan 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101019403 VA Primary
Obstetrics & Gynecology Physician 207V00000X 0745587 VA

Addresses

Primary practice location

9004 Crownwood CT
Burke, VA 22015-1630

Mailing address

9004 Crownwood CT
Burke, VA 22015-1630
Phone (703) 978-5440

Other names 1

  • R J Bettini Professional name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101019403VAMDObstetrics & Gynecology Physician
0745587VAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1316971609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 CROWNWOOD CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151630",
            "telephone_number": "703-978-5440",
            "fax_number": "703-978-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 CROWNWOOD CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151630",
            "telephone_number": "703-978-5440",
            "fax_number": "703-978-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTINI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101019403",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0745587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "BETTINI",
            "middle_name": "J",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.