BRIAN WILLIAM ROBERTS (NPI# 1710202122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710202122 |
| Entity Type | Individual |
| Full Name | BRIAN WILLIAM ROBERTS |
| Credential | M.D. |
| Practice Address |
1 Cooper Plz Camden NJ 08103-1461 |
| Practice Telephone | 8563422351 |
| Mailing Telephone | 8563422351 |
| Mailing Fax Number | 8569688572 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2014-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MA08889000 | NJ | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MT196382 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICAL LICENSE | MA08889000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972946556 | Brian Clifford Roberts | Specialist/Technologist | 526 Panther Ln, Rome, PA 18837-7892 | 2013-04-12 |
| 1417184508 | Brian Roberts | Emergency Medicine | 268 Hicks St, Brooklyn, NY 11201-4748 | 2009-06-16 |
| 1215190566 | Brian Michael Roberts | Physical Therapist | 10 Wampanoag Ave, Westerly, RI 02891-2033 | 2008-07-08 |
| 1740471184 | Brian Bart Roberts | Dentist | 4365 E Pecos Rd Ste 137, Gilbert, AZ 85297-8053 | 2007-08-08 |
| 1245299866 | Brian W Roberts | Optometrist | 5100 Highway 31, Calera, AL 35040-5154 | 2006-03-22 |
| 1538148085 | Brian Mark Roberts | Dentist | 403 Dunham St, Monte Vista, CO 81144-0403 | 2006-01-12 |
| 1114412384 | Brian Daniel Roberts | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2018-06-28 |
| 1134534068 | Brian Michael Roberts | Counselor | 601 N Belair Sq Ste 2, Evans, GA 30809-4322 | 2014-06-30 |
| 1265707905 | Brian Roberts | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2012-03-13 |
| 1629211925 | Brian Roberts | Emergency Medicine | 1501 Kings Hwy, Department of Family Medicine - Alexandria, Shreveport, LA 71103-4228 | 2009-04-16 |
| Street Address |
1 COOPER PLZ |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230911 | Daniel Kwa | Acupuncturist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2005-07-26 |
| 1053910927 | Shane Aldon Cooper | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-10-22 |
| 1396351722 | Christopher Alexander Rivera-pintado | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-09-21 |
| 1285252361 | Dhaval Dharmendra Rana | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-06 |
| 1891312195 | Vincent Verchio | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1861019036 | Calvin Ro | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1770100943 | Andrea Villa | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1376160739 | Kristen Knapp | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-01 |
| 1447874417 | Cassie Seto | Nurse Anesthetist, Certified Registered | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-04 |
| 1215551437 | Cooper Care Alliance, PC | Specialist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942663570 | Nicole Mansfield | Emergency Medicine | One Cooper Plaza, Kelemen 152, Cooper University Hospital, Camden, NJ 08103 | 2016-03-31 |
| 1578925962 | Yvonne Mbachu | Emergency Medicine | 1 Cooper Plaza, Keleman 152, Camden, NJ 08103-1461 | 2016-03-24 |
| 1184091779 | Sarab Sodhi | Emergency Medicine | One Cooper Plaza Kelemen 152, Cooper University Hospital, Camden, NJ 08103 | 2015-08-31 |
| 1376506154 | Guy Beyer Kahler | Emergency Medicine | 1111 Mill St, Camden, SC 29020-3763 | 2006-04-11 |
| 1043298789 | Quoc V Nguyen | Emergency Medicine | Box 7003, Camden, SC 29020-7003 | 2006-01-04 |
| 1194721076 | Samuel William Polen | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2005-06-24 |
| 1073012043 | Jared Klein | Emergency Medicine | 1 Cooper Plz, Camden, NJ 08103 | 2018-02-06 |
| 1528588985 | Alexander Kuc | Emergency Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-06-26 |
| 1841720331 | Caroline Kaigh | Emergency Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-06-15 |
| 1316482227 | Kimberley Chavez | Emergency Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2016-12-31 |
| Find all providers in CAMDEN | ||||
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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.