Brad Roberts is a Sports Medicine in Peoria, Illinois. Brad Roberts practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Brad Roberts is 1982627204. The last update date is 2019-12-31.
Brad Roberts's current location address is 6000 N Allen Rd, Peoria, Illinois. You can contact this provider via phone number 3096911400. The mailing address for Brad Roberts is 6000 N Allen Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Roberts |
|---|---|
| Address | 6000 N Allen Rd, Peoria, Illinois |
| Phone Number | 3096911400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1982627204 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2019-12-31 |
Provider Mailing Address Detail
| Address | 6000 N Allen Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616143294 |
| Phone Number | 3096911400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 036-116506 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 361165061 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brad Roberts by the Centers for Medicare & Medicaid Services (CMS)?
The Brad Roberts has been assigned the NPI (National Provider Identifier) 1982627204. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Brad Roberts's physical address?
The Brad Roberts is physically located at 6000 N Allen Rd, in the city of Peoria, IL, with the postal code 616143294.
What is Brad Roberts's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brad Roberts is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
When did Brad Roberts receive its 1982627204 assignment?
The Brad Roberts was assigned its 1982627204 on 2006-07-26, which is the date when this unique identifier was issued to the organization.
When was the information related to Brad Roberts most recently updated or refreshed?
The details pertaining to the Brad Roberts, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-12-31.