Individual provider Active NPI

Robert Bourke Christian, MD

  • Child & Adolescent Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1811199763
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2008-01569 Issued in NC
Practice address
1450 Raleigh Rd
#100
Chapel Hill, NC 27517-8833
Phone
(919) 843-2517
Fax
(919) 966-2230
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 2008-01569 NC Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD12349 RI
Pediatrics Physician 208000000X 2008-01569 NC

Addresses

Primary practice location

1450 Raleigh Rd
#100
Chapel Hill, NC 27517-8833

Mailing address

University of North Carolina C I D D
CB #7255
Chapel Hill, NC 27599-0001
Phone (919) 843-2517

Other identifiers 2

IdentifierTypeStateIssuer
2008-01569OtherNCNORTH CAROLINA MEDICAL LICENSE
MD12349OtherRIMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090619000402 NC Practitioner - PsychiatryPractitioner - Pediatric Medicine 4486748670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Pediatric Medicine
Education
North Carolina Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Renee Lynn CT
Carrboro, NC 27510-6511
Phone (919) 966-5156

101 Manning Dr
Chapel Hill, NC 27514-4220

101 Renee Lynn CT
Carrboro, NC 27510-6511
Phone (919) 966-5171

105 Renee Lynn CT
Carrboro, NC 27510-6511
Phone (919) 966-4359

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008-01569NCMDChild & Adolescent Psychiatry Physician
MD12349RIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Pediatrics CurrentSince May 13, 2009 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients
Rhode Island Hospital Past Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

101 Renee Lynn Ct
Carrboro, NC 27510
Phone (919) 966-4135

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

Interoperability endpoints

  • Direct secure messaging: rchristian12257@direct.unc.nchie.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1811199763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NORTH CAROLINA C I D D",
            "address_2": "CB #7255",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-843-2517",
            "fax_number": "919-966-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 RALEIGH RD",
            "address_2": "#100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178833",
            "telephone_number": "919-843-2517",
            "fax_number": "919-966-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "ROBERT",
        "middle_name": "BOURKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2008-01569",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "RI",
            "license": "MD12349",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2008-01569",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL LICENSE",
            "identifier": "2008-01569",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD12349",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.