Healthcare Provider Details

I. General information

NPI: 1336129410
Provider Name (Legal Business Name): ROBERT CHRISTOPHER VAN WINKLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 BRASSFIELD RD SUITE 400
GREENSBORO NC
27410-9682
US

IV. Provider business mailing address

3201 BRASSFIELD RD SUITE 400
GREENSBORO NC
27410-9682
US

V. Phone/Fax

Practice location:
  • Phone: 336-282-2300
  • Fax: 336-282-0034
Mailing address:
  • Phone: 336-282-2300
  • Fax: 336-282-0034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number200300208
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number200300208
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: