Healthcare Provider Details

I. General information

NPI: 1023105434
Provider Name (Legal Business Name): BRIAN VERNON ROBBINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 SUNNYBROOK RD
RALEIGH NC
27610-1827
US

IV. Provider business mailing address

111 SUNNYBROOK RD
RALEIGH NC
27610-1827
US

V. Phone/Fax

Practice location:
  • Phone: 919-250-1260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2005-00386
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: