Individual provider Active NPI

Forrest Andrew Roberson, MD

  • Dermatology Physician
  • Blacksburg, VA
National Provider Identifier
1992448047
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101283261 Issued in VA
Practice address
3706 S Main St Ste B
Blacksburg, VA 24060-7006
Phone
(540) 951-3376
Fax
(540) 951-1276
NPI assigned
Apr 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101283261 VA Primary

Addresses

Primary practice location

3706 S Main St Ste B
Blacksburg, VA 24060-7006

Mailing address

3706 S Main St Ste B
Blacksburg, VA 24060-7006
Phone (540) 951-3376

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
I20220720003499 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4486035573

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Brody School of Medicine at East Carolina University, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3706 S Main St
Suite B
Blacksburg, VA 24060-7006

8 Jessica Cir
Schwenksville, PA 19473-1696

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1992448047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 S MAIN ST STE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607006",
            "telephone_number": "540-951-3376",
            "fax_number": "540-951-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 S MAIN ST STE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607006",
            "telephone_number": "540-951-3376",
            "fax_number": "540-951-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "FORREST",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-17",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101283261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.