BRADLEY J ROBOTTOM MD NPI 1558486688

NPI Information

NPI: 1558486688
Provider Name: BRADLEY J ROBOTTOM, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: RALEIGH NEUROLOGY ASSOCIATES PA

PECOS Registration: Yes

Address:
4111 BEN FRANKLIN BLVD
DURHAM, NC
ZIP 27704
Phone: (919) 719-8834
Get Directions

Bradley J Robottom, MD is a neurology psychiatry neurology in Durham, NC with 20 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Bradley J Robottom, MD NPI is 1558486688. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

4111 BEN FRANKLIN BLVD
DURHAM, NC
ZIP 27704-141
Phone: (919) 719-8834
Fax: (919) 582-0528

The NPI 1558486688 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/3/2011.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	D68380	MARYLAND	Yes

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
1	D68380	OTHER	MARYLAND	MEDICAL LICENSE
2	2011-00566	OTHER	NORTH CAROLINA	NC LICENSE
3	NC0155A	MEDICARE PIN

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: 11/14/2023

NPI Synchronization or Removal

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