Healthcare Provider Details

I. General information

NPI: 1710204953
Provider Name (Legal Business Name): ROBERT MALCOLM HENDRY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 06/13/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 BILTMORE AVE SUITE B671
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

509 BILTMORE AVE SUITE B671
ASHEVILLE NC
28801-4601
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-1441
  • Fax: 828-213-9914
Mailing address:
  • Phone: 828-213-1441
  • Fax: 828-213-9914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number2014-00581
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number74397
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0101265689
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2014-00581
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: