Robert Lee Robbins Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31640 Issued in MO

Practice address

112 W Commercial St
Charleston, MO 63834-1601

Phone

(573) 683-4010

Fax

(573) 683-2167

NPI assigned

Jun 9, 2005

Last updated

Feb 25, 2021By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: rrobbins10853@surescripts.sfmc.net

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.

• Robert L. Robbins, D.O., LLC

  • Rural Health Clinic/Center
  • Charleston, MO
  • NPI 1700823176

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1467456392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801143",
            "telephone_number": "573-331-5583",
            "fax_number": "573-331-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W COMMERCIAL ST",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "638341601",
            "telephone_number": "573-683-4010",
            "fax_number": "573-683-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "31640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240006601",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268927",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599443504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• N & R of Charleston LLC (Charleston Manor)
• Benjamin Paynter
• Ronald Lee Petersen, DDS
• Symone Pickens-Owens
• Paris Delani Robbins, RD,LD
• Robert L Robbins, D.O., LLC
• Robert L. Robbins, D.O., LLC
• Twan Robinson, LMSW, LCSW
• Gregorio Lerma Rodriguez, M.D.
• Deren Alanna Rogers, COTA

• Family Medicine Physician in Charleston, MO
• Providers in Charleston, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.