Healthcare Provider Details

I. General information

NPI: 1396157905
Provider Name (Legal Business Name): ROBERT JOHN STRETCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2014
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 W MARKET ST STE 100
GREENSBORO NC
27403-4444
US

IV. Provider business mailing address

3511 W MARKET ST STE 100
GREENSBORO NC
27403-4444
US

V. Phone/Fax

Practice location:
  • Phone: 336-522-8999
  • Fax: 336-522-8998
Mailing address:
  • Phone: 336-522-8999
  • Fax: 336-522-8998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2020-03957
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2020-03957
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number2020-03957
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: