Active NPI
Robert E. Bickerton, M.D.
- Internal Medicine Physician
- Encinitas, CA
National Provider Identifier
1992778765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G70406
- Practice address
- 1106 2ND St
#345
Encinitas, CA 92024-5008 - Phone
- (760) 944-7500
- Fax
- (760) 944-5533
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G70406 | CA | Primary |
Addresses
Primary practice location
1106 2ND St
#345
Encinitas, CA 92024-5008
Mailing address
1106 2ND St
#345
Encinitas, CA 92024-5008
Phone (760) 944-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G704060 | Medicaid | CA |
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 |
|---|---|---|---|
| G70406 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1992778765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 2ND ST",
"address_2": "#345",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245008",
"telephone_number": "760-944-7500",
"fax_number": "760-944-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 2ND ST",
"address_2": "#345",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245008",
"telephone_number": "760-944-7500",
"fax_number": "760-944-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKERTON",
"first_name": "ROBERT",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G70406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G704060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.