NPI Code Detail JSON Logo

1215067152 NPI number — DAVID WAYNE ROBINSON JR. MD

NPI Number: 1215067152
Health Care Provider/Practitioner: DAVID WAYNE ROBINSON JR. MD

Information about “1215067152” NPI (DAVID WAYNE ROBINSON JR. MD) exists in 1215067152 in HTML format HTML  |  1215067152 in plain Text format TXT  |  1215067152 in PDF (Portable Document Format) PDF  |  1215067152 in an XML format XML  formats.

NPI Number : 1215067152 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215067152",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBINSON",
    "FirstName": "DAVID",
    "MiddleName": "WAYNE",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 751649",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28275-1649",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "888-472-0043",
    "MailingAddressFaxNumber": "843-724-2440",
    "FirstLinePracticeLocationAddress": "5070 INTERNATIONAL BLVD STE 131",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "N CHARLESTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29418-6007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-402-5053",
    "PracticeLocationAddressFaxNumber": "843-724-1325",
    "EnumerationDate": "03/07/2007",
    "LastUpdateDate": "03/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "18868",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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