DR. JEAN LANGLEY ROBERTS M.D. NPI 1972702744

NPI Information

NPI: 1972702744
Provider Name: DR. JEAN LANGLEY ROBERTS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1200 W WHITE RIVER BLVD
MUNCIE, IN
ZIP 47303
Phone: (765) 282-8991
Get Directions

DR. Jean Langley Roberts, M.D. is a family medicine in Muncie, IN. 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. DR. Jean Langley Roberts, M.D. NPI is 1972702744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 W WHITE RIVER BLVD
MUNCIE, IN
ZIP 47303-988
Phone: (765) 282-8991
Fax: (765) 284-7813

The NPI 1972702744 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 7/12/2007 and was last updated on 4/20/2017.

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	208M00000X	Hospitalist		01067670A	INDIANA	No
2	207Q00000X	Family Medicine		11013788A	INDIANA	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	000001074965	OTHER	INDIANA	ANTHEM
2	M400026296	MEDICARE PIN	INDIANA
3	200995060	MEDICAID	INDIANA
4	256840023	MEDICARE PIN	INDIANA
5	P00874039	OTHER	INDIANA	RR MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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