RICHARD ROBERTS NPI 1417935479

NPI Information

  • NPI: 1417935479
  • Provider Name: RICHARD ROBERTS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2024 S 6TH ST
    BRAINERD, MN
    ZIP 56401
  • Phone: (218) 828-7100

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NPI Details

Richard Roberts is a family medicine in Brainerd, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Richard Roberts NPI is 1417935479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2024 S 6TH ST
BRAINERD, MN
ZIP 56401-529
Phone: (218) 828-7100

The enumeration date for this NPI number is 1/9/2006 and was last updated on 1/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine24375MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1089005698MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
2912892100MEDICAIDMINNESOTA
3D80288MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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