Robert Lee Robbins Jr., D.O.

Individual provider Active NPI Family Medicine Physician · Charleston, MO

NPI 1467456392 · NPPES record last updated Feb 25, 2021

Key facts

NPI
1467456392
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
31640 (MO)
Practice address
112 W Commercial St
Charleston, MO 63834-1601
Phone
(573) 683-4010
Fax
(573) 683-2167
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L. Robbins, D.O., LLC Family Medicine Past
since Feb 9, 2006
Accepting new patients

Interoperability endpoints

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31640 MO Yes

Addresses

Primary practice location

112 W Commercial St
Charleston, MO 63834-1601

Mailing address

PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583

Other identifiers

IdentifierTypeStateIssuer
240006601MedicaidMO
268927MedicaidMO
599443504MedicaidMO

Other providers in Charleston, MO

All providers in Charleston, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.