Alfred Mack Roberts, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101030378 Issued in VA

Practice address

5615 High St W
Suite a
Portsmouth, VA 23703-3758

Phone

(757) 484-5002

Fax

(757) 483-9506

NPI assigned

Apr 14, 2006

Last updated

Nov 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryview Hospital

  dba Bon Secours MedCare Churchland

  • Urgent Care Clinic/Center
  • Portsmouth, VA
  • NPI 1942230958
  NPD (past)
• Maryview Hospital LLC

  dba Bon Secours Liver Institute of Hampton Roads

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1013439835
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1396709515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 HIGH ST W",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033758",
            "telephone_number": "757-484-5002",
            "fax_number": "757-483-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 HIGH ST W",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033758",
            "telephone_number": "757-484-5002",
            "fax_number": "757-483-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALFRED",
        "middle_name": "MACK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101030378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5624495",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danisha Lexine Robbins, PH.D.
• Patsy Copeland Robbins, R.PH.
• Nekeia Remoan Roberson, RDH
• Robert J. Accettola, MD, LLC
• Beryl Roberts Plum
• Brandon Roberts, LMSW
• Chad Nathan Roberts, SUBMARINE IDC
• Lisa Gayle Roberts, RN
• Peter Frazier Roberts, MD
• Starleeka Latasha Roberts, RN

• Family Medicine Physician in Portsmouth, VA
• Providers in Portsmouth, 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 5, 2008; 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.