Active NPI
Robert Farrell Eaton, MD
- Orthopaedic Surgery Physician
- Brevard, NC
National Provider Identifier
1962413435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 19992
- Practice address
- 316 Chestnut St Ste 2
Brevard, NC 28712-3897 - Phone
- (828) 884-2055
- Fax
- (828) 884-2834
- NPI assigned
- Aug 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 19992 | NC | Primary |
Addresses
Primary practice location
316 Chestnut St Ste 2
Brevard, NC 28712-3897
Mailing address
PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 213-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206079H | Other | NC | MEDICARE PTAN |
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 |
|---|---|---|---|
| 19992 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendersonville Orthopeadics, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
| Larry J Russell | Past | Accepting new patients | |
| The Outer Banks Hospital Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Hendersonville, NC
- NPI 1215103510
Orthopaedic Surgery
-
- Medical Specialty Clinic/Center
- Hendersonville, NC
- NPI 1336114784
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1962413435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602373",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602373",
"telephone_number": "828-213-1500",
"fax_number": "828-651-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 CHESTNUT ST STE 2",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123897",
"telephone_number": "828-884-2055",
"fax_number": "828-884-2834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "ROBERT",
"middle_name": "FARRELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "19992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "206079H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.