Healthcare Provider Details

I. General information

NPI: 1225788037
Provider Name (Legal Business Name): ROBERT HERSHEY PROPST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 07/03/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20306 BADGER LANE
ONLEY VA
23418
US

IV. Provider business mailing address

3640 HIGH ST STE 3B
PORTSMOUTH VA
23707-3213
US

V. Phone/Fax

Practice location:
  • Phone: 757-787-7374
  • Fax: 757-787-4513
Mailing address:
  • Phone: 757-397-6344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101284058
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: