Active NPI
Robert Douglas Stewart, MD
- Geriatric Medicine (Internal Medicine) Physician
- Durham, NC
National Provider Identifier
1609860204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 21234
- Practice address
- 305 Brook Chase LN
Durham, NC 27705-2482 - Phone
- (919) 383-3384
- NPI assigned
- Sep 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 21234 | NC | Primary |
Addresses
Primary practice location
305 Brook Chase LN
Durham, NC 27705-2482
Mailing address
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 281-1836
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01439 | Other | NC | BC/BS |
| 7901439 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21234 | NC | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1609860204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WILLIAM PENN PLZ",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042150",
"telephone_number": "919-281-1836",
"fax_number": "919-313-1276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BROOK CHASE LN",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052482",
"telephone_number": "919-383-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ROBERT",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NC",
"license": "21234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "01439",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7901439",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.