Healthcare Provider Details

I. General information

NPI: 1013851260
Provider Name (Legal Business Name): BRITTANY ERIN ROBERTSON
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E BROAD ST
RICHMOND VA
23219-1930
US

IV. Provider business mailing address

PO BOX 980257
RICHMOND VA
23298-0257
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-2467
  • Fax:
Mailing address:
  • Phone: 804-828-9783
  • Fax: 804-828-5775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0116042143
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: