Healthcare Provider Details
I. General information
NPI: 1093438830
Provider Name (Legal Business Name): RICHBEND EMERGENCY PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2022
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
812 GORMAN AVE
ELKINS WV
26241-3181
US
IV. Provider business mailing address
400 GALLERIA PKWY SE STE 960
ATLANTA GA
30339-5980
US
V. Phone/Fax
- Phone: 304-636-3300
- Fax:
- Phone: 404-500-8147
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BOYKIN
ROBINSON
Title or Position: CEO
Credential: MD
Phone: 404-500-8147