Healthcare Provider Details

I. General information

NPI: 1336135052
Provider Name (Legal Business Name): MICHAEL WILLIAM ROBERTS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 05/25/2022
Certification Date: 05/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 DOCTOR HENRY NORRIS DR
RUTHERFORDTON NC
28139-3176
US

IV. Provider business mailing address

139 DOCTOR HENRY NORRIS DR
RUTHERFORDTON NC
28139-3176
US

V. Phone/Fax

Practice location:
  • Phone: 828-287-9260
  • Fax: 828-287-9709
Mailing address:
  • Phone: 828-287-9260
  • Fax: 828-287-9709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number96-00702
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: