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DAVID EUGENE ROBERTS MD NPI 1831167295


NPI Information

NPI: 1831167295
Provider Name: DAVID EUGENE ROBERTS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
294 SUMMAR DR
JACKSON, TN
ZIP 38301
Phone: (731) 423-1932
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David Eugene Roberts, MD is a family medicine in Jackson, TN. 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. David Eugene Roberts, MD NPI is 1831167295. 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:

294 SUMMAR DR
JACKSON, TN
ZIP 38301-915
Phone: (731) 423-1932
Fax: (731) 423-4919

The enumeration date for this NPI number is 3/10/2006 and was last updated on 7/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine10295TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13178084MEDICAIDTENNESSEE
23031752OTHERTENNESSEEBLUE CROSS BLUE SHIELD TN
39240OTHERTENNESSEETLC
4B03796MEDICARE UPINTENNESSEE
53178084MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
67814407OTHERTENNESSEECIGNA
7118312OTHERTENNESSEEBETTER HEALTH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.