Healthcare Provider Details

I. General information

NPI: 1528529070
Provider Name (Legal Business Name): FAITH CHRISTINE ROBERTSON MD, PHD, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TRENT DR
DURHAM NC
27710-3037
US

IV. Provider business mailing address

200 TRENT DR
DURHAM NC
27710-3037
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-7777
  • Fax: 919-684-8274
Mailing address:
  • Phone: 919-684-7777
  • Fax: 919-684-8274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number335127
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: