NPIMap

Individual provider Active NPI

Robert Patrick Neubauer

  • Family Medicine Physician
  • Locust, NC
National Provider Identifier
1902435571
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-01850 Issued in NC
Practice address
236 Market St Ste 110
Locust, NC 28097-9439
Phone
(704) 384-9590
Fax
(704) 384-9591
NPI assigned
Apr 6, 2020
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 2023-01850 NC Primary

Addresses

Primary practice location

236 Market St Ste 110
Locust, NC 28097-9439

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

825 Fairfax Ave Ste 118
Norfolk, VA 23507-1914
Phone (757) 446-5955

Other practice location 2

1420 E Franklin St
Monroe, NC 28112-5160
Phone (704) 289-8427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714002048 NC Practitioner - Family Practice 1153781711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

1420 E Franklin St
Monroe, NC 28112-5160
Phone (704) 289-8427

236 Market St
Suite 110
Locust, NC 28097-9439
Phone (704) 384-9590

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Jun 3, 2023 Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Sep 13, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 3, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 3, 2023 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation Family Medicine PastSince Apr 1, 2020 Accepting new patients
Coastal Podiatry, Inc PastSince Apr 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

236 Market St
Ste 110
Locust, NC 28097
Phone (704) 384-9590

1420 E Franklin St
Monroe, NC 28112
Phone (704) 289-8427

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: rneubauer1143235@direct.novanthealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1902435571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 MARKET ST STE 110",
            "city": "LOCUST",
            "state": "NC",
            "postal_code": "280979439",
            "telephone_number": "704-384-9590",
            "fax_number": "704-384-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Fairfax Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071914",
            "country_code": "US",
            "telephone_number": "757-446-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 E Franklin St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125160",
            "country_code": "US",
            "telephone_number": "704-289-8427",
            "fax_number": "704-283-5522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUBAUER",
        "first_name": "ROBERT",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-01850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust, NC

Sources for this page

Verify at the official NPI Registry.