Bruce E Roberts in Jackson - General Practice
Bruce E Roberts - NPI 1770570038
Bruce E Roberts is a General Practice in Jackson, Mississippi. Bruce E Roberts practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce E Roberts is 1770570038. The last update date is 2008-01-28.
Bruce E Roberts's current location address is 5345 Highway 18 W, Jackson, Mississippi. You can contact this provider via phone number 6019245007 and fax number 6019239921. The mailing address for Bruce E Roberts is 5345 Highway 18 W, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce E Roberts |
|---|---|
| Address | 5345 Highway 18 W, Jackson, Mississippi |
| Phone Number | 6019245007 |
| Fax Number | 6019239921 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770570038 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | 5345 Highway 18 W |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392099421 |
| Phone Number | 6019245007 |
| Fax Number | 6019239921 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 9179 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C48217 | MS | DR |
Post Comment/ Review Below
What is the Bruce E Roberts's 1770570038?
The Bruce E Roberts's NPI (National Provider Identifier) Number is 1770570038. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bruce E Roberts is physically located?
The Bruce E Roberts is physically situated at the following address: 5345 Highway 18 W, Jackson, MS, 392099421.
What is the Bruce E Roberts's specialty and taxonomy code?
The Bruce E Roberts's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770570038 to Bruce E Roberts?
The Bruce E Roberts received its 1770570038 assignment from the Centers for Medicare & Medicaid Services on 2005-10-03.
As of what date were the Bruce E Roberts's details last updated?
The information pertaining to the Bruce E Roberts, including its address, specialty, and other details, was most recently updated on 2008-01-28.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY