Healthcare Provider Details

I. General information

NPI: 1982967287
Provider Name (Legal Business Name): ROBERT B. SCHOPF D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 06/10/2020
Certification Date: 06/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 S MAIN ST
BLACKSBURG VA
24060-7007
US

IV. Provider business mailing address

3 RIVERSIDE CIR
ROANOKE VA
24016-4955
US

V. Phone/Fax

Practice location:
  • Phone: 540-552-7133
  • Fax: 540-552-7143
Mailing address:
  • Phone: 540-725-1226
  • Fax: 540-857-5306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0116024662
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0103301135
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: