Active NPI
Brian K Roberts, PA-C
- Surgical Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00065900
- Practice address
- 3400 Spruce Street
4 Silverstein
Philadelphia, PA 19104-4206 - Phone
- (215) 615-4949
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA051149 | PA | |
| Surgical Physician Assistant | 363AS0400X | 25MP00065900 | NJ | Primary |
Addresses
Primary practice location
3400 Spruce Street
4 Silverstein
Philadelphia, PA 19104-4206
Mailing address
3400 Spruce Street
4 Silverstein
Philadelphia, PA 19104-4206
Phone (215) 615-4949
Other practice location 1
1 Brace Rd Ste H
Cherry Hill, NJ 08034-2600
Phone (856) 547-0389
Other practice location 2
141 Route 70 E Ste B
Marlton, NJ 08053-1855
Phone (856) 596-9057
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | broberts101217@directvirtua.org | ||
| Direct Messaging Address | broberts101217@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Penn-Medical Group
Practice addresses (Care Compare)
1600 Haddon Ave
Camden, NJ 08103-3101
175 Madison Ave
Mount Holly, NJ 08060-2038
3242 Route 206
Bordentown, NJ 08505-4517
3400 Spruce St
Philadelphia, PA 19104-4206
3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079
Hospital & facility affiliations
- Virtua Our Lady of Lourdes Hospital
- West Jersey Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051149 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Cooper Surgical Associates, PA | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270
1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500
1 Brace Rd
Ste H
Cherry Hill, NJ 08034
Phone (856) 547-0389
1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
141 Route 70 E
Ste B
Marlton, NJ 08053
Phone (856) 596-9057
301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396
3400 Spruce St
Fl 6
Philadelphia, PA 19104
Phone (215) 615-0800
3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050
51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010
800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Critical Care Medicine (Internal Medicine) Physician
- Camden, NJ
- NPI 1679605554
-
- Orthopaedic Surgery Physician
- Voorhees, NJ
- NPI 1427177195
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1598153603
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
- Specialist
- Camden, NJ
- NPI 1386682094
-
- Urgent Care Clinic/Center
- Cherry Hill, NJ
- NPI 1164972998
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1508956202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET",
"address_2": "4 SILVERSTEIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-615-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET",
"address_2": "4 SILVERSTEIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-615-4949"
}
],
"practiceLocations": [
{
"address_1": "1 Brace Rd Ste H",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080342600",
"country_code": "US",
"telephone_number": "856-547-0389",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Route 70 E Ste B",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080531855",
"country_code": "US",
"telephone_number": "856-596-9057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "BRIAN",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA051149",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00065900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "broberts101217@directvirtua.org",
"affiliation": "N",
"address_1": "141 Route 70 E Ste B",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080531855",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "broberts101217@directvirtua.org",
"affiliation": "N",
"address_1": "1 Brace Rd Ste H",
"city": "Cherry Hill",
"state": "NJ",
"country_code": "US",
"postal_code": "080342600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.