BRADLEY J ROBOTTOM (NPI# 1558486688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558486688 |
| Entity Type | Individual |
| Full Name | BRADLEY J ROBOTTOM |
| Credential | MD |
| Practice Address |
4111 Ben Franklin Blvd Durham NC 27704-2141 |
| Mailing Address |
1540 Sunday Dr Raleigh NC 27607-6010 |
| Practice Telephone | 9197198834 |
| Practice Fax Number | 9195820528 |
| Mailing Telephone | 9197823456 |
| Mailing Fax Number | 9197831441 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D68380 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAL LICENSE | D68380 | 01 |
| NC | NC LICENSE | 2011-00566 | 01 |
| Street Address |
4111 BEN FRANKLIN BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467415810 | Ugo Goetzl | Psychiatry & Neurology | 4111 Ben Franklin Blvd, Durham, NC 27704-2141 | 2006-04-07 |
| 1447593827 | Raleigh Neurology Associates Pa | Psychiatry & Neurology | 4111 Ben Franklin Blvd, Durham, NC 27704-2141 | 2013-04-03 |
| 1548509763 | Drayer Physical Therapy Institute LLC | Physical Therapist | 4111 Ben Franklin Blvd, Durham, NC 27704-2141 | 2013-02-07 |
| 1982962908 | Susannah White | Physician Assistant | 4111 Ben Franklin Blvd, Durham, NC 27704-2141 | 2012-04-27 |
| 1992087977 | Caroline Amos | Nurse Practitioner | 4111 Ben Franklin Blvd, Durham, NC 27704-2141 | 2011-09-15 |
| 1508094343 | Scott J Ihde | Physician Assistant | 4111 Ben Franklin Blvd, Durham, NC 27704-2141 | 2009-07-01 |
| 1679708754 | Steve Thomas Kirk | Psychiatry & Neurology | 4111 Ben Franklin Blvd, Raleigh Neurology, Durham, NC 27704-2141 | 2009-05-19 |
| 1114197423 | Andrew Robert Graber | Psychiatry & Neurology | 4111 Ben Franklin Blvd, Durham, NC 27704-2141 | 2008-03-04 |
| 1760651905 | Danielle Adriana Dupont Wyant | Pediatrics | 4111 Ben Franklin Blvd, Durham, NC 27704-2141 | 2008-02-21 |
| 1235216367 | Louis Anthony Giordano | Counselor | 4111 Ben Franklin Blvd, Durham, NC 27704-2141 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811343676 | William T Coleman | Psychiatry & Neurology | 1315 Morreene Rd, Durham, NC 27705-4524 | 2016-05-11 |
| 1982041778 | Tristin Alix Allen | Psychiatry & Neurology | Dumc 3403, Durham, NC 27710-6878 | 2013-06-03 |
| 1881958460 | Christian Hernandez | Psychiatry & Neurology | Duke Medicine Pavillion, Durham, NC 27710-0001 | 2012-06-28 |
| 1265798631 | Sneha Mantri | Psychiatry & Neurology | 932 Morreene Rd # 3333, Durham, NC 27705 | 2012-04-10 |
| 1114219367 | Margaret Olga Johnson | Psychiatry & Neurology | The Preston Robert Tisch Brain Center At, 047 Baker House, Trent Drive, Durham, NC 27710-4206 | 2011-05-06 |
| 1851556096 | Andrew Robert Spector | Psychiatry & Neurology | 234 Crooked Creek Pkwy Ste 420, Durham, NC 27713-8507 | 2008-07-28 |
| 1730347618 | Michael Sawa | Psychiatry & Neurology | Dumc 3403, Trent Drive, Clinic 1l, Room 1255, Durham, NC 27705 | 2008-05-28 |
| 1992975528 | Jodi Jane Hawes | Psychiatry & Neurology | Box 2905, Durham, NC 27710-0001 | 2008-03-11 |
| 1992919567 | Tung Thanh Tran | Psychiatry & Neurology | 315 Trent Dr, Dumc 102350, Durham, NC 27710-3038 | 2007-05-10 |
| 1003943390 | James O. Mcnamara | Psychiatry & Neurology | Dumc 3209, Durham, NC 27710-0001 | 2007-02-27 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.