Robert Stockburger, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101-026605 Issued in VA

Practice address

1420 N Main St
Blacksburg, VA 24060-2522

Phone

(540) 951-8380

NPI assigned

Dec 1, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1497739627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S JEFFERSON FOREST LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240608944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602522",
            "telephone_number": "540-951-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKBURGER",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101-026605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5623065",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5624410",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Stack
• Kyle Ambrose Staggers, ATC
• David J Stephen, DO
• Paula Stevens, PT
• Stillpoint Osteopathic Medicine
• David Bruce Stoeckle, M.D.
• Robert Stokes, CRNA
• Kathleen Joyce Stone
• Sarah W Strang, NP
• Sivonna Stringham

• Family Medicine Physician in Blacksburg, VA
• Providers in Blacksburg, 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 Aug 12, 2011; 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.