Individual provider Active NPI

Robert Brian Stephenson, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Christiansburg, VA
National Provider Identifier
1942272307
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
0101042429 Issued in VA
Practice address
2900 Lamb Cir
Suite L-760
Christiansburg, VA 24073-6344
Phone
(540) 731-2436
Fax
(540) 731-2439
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0101042429 VA Primary

Addresses

Primary practice location

2900 Lamb Cir
Suite L-760
Christiansburg, VA 24073-6344

Mailing address

2900 Lamb Circle
Suite L-760
Christiansburg, VA 24073-6345
Phone (540) 731-2436

Other identifiers 19

IdentifierTypeStateIssuer
1942272307OtherVAINTOTAL
1942272307OtherVAOWCP
1942272307OtherVAGATEWAY
1942272307OtherVAAETNA
541586601118OtherVATRICARE/CHAMPUS
1942272307OtherVAUNITED HEALTHCARE
3810002168OtherVAMEDICAID OF WEST VIRGINIA
1942272307OtherVAOPTIMA HEALTH PLAN
1942272307OtherVAANTHEM
1942272307OtherVAHEALTHKEEPERS PLUS
1942272307OtherVAVA HEALTH NETWORK
1942272307OtherVACIGNA
1942272307MedicaidVA
1942272307OtherVAHUMANA MEDICARE
1942272307OtherVAUMWA
1942272307OtherVAVA PREMIER
1942272307OtherVASOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
1942272307OtherVAHEALTHKEEPERS
1942272307OtherVAMAJESTACARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rstephenson18655@direct.carilionclinic.org Direct

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

LicenseStateTypeSpecialty
0101042429VAMDSports Medicine (Orthopaedic Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1942272307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIRCLE",
            "address_2": "SUITE L-760",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736345",
            "telephone_number": "540-731-2436",
            "fax_number": "540-731-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "address_2": "SUITE L-760",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-731-2436",
            "fax_number": "540-731-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "ROBERT",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101042429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTOTAL",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "541586601118",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF WEST VIRGINIA",
            "identifier": "3810002168",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH PLAN",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS PLUS",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH NETWORK",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MEDICARE",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "1942272307",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAJESTACARE",
            "identifier": "1942272307",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rstephenson18655@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rstephenson18655@direct.carilionclinic.org",
            "address_1": "2900 Lamb Cir",
            "address_2": "Suite L-760",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240736344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.