Active NPI
Robert Edward Eberhart, MD
- Orthopaedic Surgery Physician
- Portsmouth, NH
National Provider Identifier
1912964263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 7386
- Practice address
- 1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679 - Phone
- (603) 431-1121
- Fax
- (603) 431-9147
- NPI assigned
- Apr 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 7386 | NH | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 012297 | ME | |
| Orthopaedic Surgery Physician | 207X00000X | 47787 | MA |
Addresses
Primary practice location
1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Mailing address
1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80008516 | Medicaid | NH |
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 |
|---|---|---|---|
| 47787 | MA | MD | Orthopaedic Surgery Physician |
| 012297 | ME | MD | Orthopaedic Surgery Physician |
Interoperability endpoints
- reberhart@direct.smao.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1912964263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 LAFAYETTE RD",
"address_2": "SUITE A",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038015679",
"telephone_number": "603-431-1121",
"fax_number": "603-431-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 LAFAYETTE RD",
"address_2": "SUITE A",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038015679",
"telephone_number": "603-431-1121",
"fax_number": "603-431-9147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERHART",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NH",
"license": "7386",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ME",
"license": "012297",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "47787",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80008516",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.