Active NPI
Glenn B. Robbins Jr., D.O.
- Neurology Physician
- Kirksville, MO
National Provider Identifier
1992705321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 32785
- Practice address
- 800 W Jefferson St
Kirksville, MO 63501-1443 - Phone
- (660) 626-2182
- Fax
- (660) 626-2426
- NPI assigned
- Jul 28, 2005
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 32785 | MO | Primary |
Addresses
Primary practice location
800 W Jefferson St
Kirksville, MO 63501-1443
Mailing address
800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248922908 | Medicaid | MO |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32785 | MO | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1992705321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W JEFFERSON ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635011443",
"telephone_number": "660-626-2182",
"fax_number": "660-626-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W JEFFERSON ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635011443",
"telephone_number": "660-626-2182",
"fax_number": "660-626-2426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "GLENN",
"middle_name": "B.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "32785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "248922908",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.