Alfred D. Roberts, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

28763 Issued in CO

Practice address

6179 S Balsam Way Ste 130
Littleton, CO 80123-3092

Phone

(303) 948-2020

Fax

(303) 904-2020

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southwest Denver Eye Center LLC

  • Durable Medical Equipment & Medical Supplies
  • Littleton, CO
  • NPI 1255509402
  NPD (past) Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1750374864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY #130",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233092",
            "telephone_number": "303-948-2020",
            "fax_number": "303-904-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY STE 130",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233092",
            "telephone_number": "303-948-2020",
            "fax_number": "303-904-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALFRED",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "28763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01287630",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1188050001",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "921478",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danna Roberson
• Robert Blayney MD
• Robert D. Madden, DDS, Mba, P.C.
• Robert J Stanga Optometrist PC (Advanced Family Eyecare)
• Robert L Blayney MD
• Jamie J Roberts
• Nicole M Roberts, MA, CCC-SLP
• Bryn Robertson, MCJ
• Colin Robertson, PT, DPT
• Darrin William Robertson, D.C.

• Specialist in Littleton, CO
• Providers in Littleton, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.