Healthcare Provider Details

I. General information

NPI: 1770903262
Provider Name (Legal Business Name): PATRICK ROBINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 PARKWOOD DR
ELKIN NC
28621-2430
US

IV. Provider business mailing address

180 PARKWOOD DR
ELKIN NC
28621-2430
US

V. Phone/Fax

Practice location:
  • Phone: 336-527-7217
  • Fax: 336-716-5438
Mailing address:
  • Phone: 336-527-7217
  • Fax: 336-716-5438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2016-02550
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101261797
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: