Organization Active NPI

Brad E Robinson MD PC

  • Infectious Disease Physician
  • Roseburg, OR
National Provider Identifier
1629153580
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD 16486 Issued in OR
Legal business name
BRAD E ROBINSON MD PC
Practice address
2550 NW Edenbower Blvd
Suite 104
Roseburg, OR 97471-8829
Phone
(541) 229-4009
Fax
(541) 229-3347
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brad Eric Robinson, MD MPHNPI 1972688828
Title
President
Phone
(541) 229-4009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X MD 16486 OR Primary

Addresses

Primary practice location

2550 NW Edenbower Blvd
Suite 104
Roseburg, OR 97471-8829

Mailing address

2550 NW Edenbower Blvd
Suite 104
Roseburg, OR 97471-8829
Phone (541) 229-4009

Other identifiers 1

IdentifierTypeStateIssuer
009394MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1629153580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NW EDENBOWER BLVD",
            "address_2": "SUITE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718829",
            "telephone_number": "541-229-4009",
            "fax_number": "541-229-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NW EDENBOWER BLVD",
            "address_2": "SUITE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718829",
            "telephone_number": "541-229-4009",
            "fax_number": "541-229-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD E ROBINSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-229-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OR",
            "license": "MD 16486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009394",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.