DR. BERNICE ROBERTS (NPI# 1740256577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740256577 |
Entity Type | Individual |
Full Name | DR. BERNICE ROBERTS |
Other Name | DR. BERNICE ROBERTS |
Credential | DO |
Practice Address |
170 N Sierra Vista Dr Tucson AZ 85719-3841 |
Practice Telephone | 5203201030 |
Mailing Telephone | 5203201030 |
Enumeration Date | 2006-02-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
2339 | AZ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508156621 | Bernice Roberts | Pharmacist | 2125 Highway 155 N, Mcdonough, GA 30252-4809 | 2011-04-11 |
Street Address |
170 N SIERRA VISTA DR |
City | TUCSON |
State | AZ |
Zip Code | 85719-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
Find all providers in zip 85719 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861592826 | Gail N Shultz | Family Medicine | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2006-09-22 |
1013012699 | Ivy L Schwartz | Family Medicine | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2006-09-14 |
1134250228 | Jerry William Fitz | Family Medicine | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588299176 | Arizona Healthy Clinic LLC | Family Medicine | 4344 W Indian School Rd Ste 8, Phoenix, AZ 85031-2939 | 2020-03-04 |
1194368852 | Relieve Medical Detox | Family Medicine | 7281 E Earll Dr Ste A4, Scottsdale, AZ 85251-7213 | 2019-10-24 |
1619430691 | Freedom Medical Care | Family Medicine | 5151 E Broadway Rd Ste 105, Mesa, AZ 85206-1346 | 2019-04-08 |
1851878508 | Rapr LLC | Family Medicine | 10632 N Scottsdale Rd Unit 482, Scottsdale, AZ 85254-6164 | 2018-07-25 |
1811410715 | Jacqueline M Pinlac | Family Medicine | 7830 N 23rd Ave, Phoenix, AZ 85021-6808 | 2017-07-23 |
1003269697 | Perla Quinones | Family Medicine | 36375 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140-7334 | 2016-07-19 |
1245468271 | Kenneth M Levine, D.o. Ltd | Family Medicine | 2121 S Mill Ave, 114, Tempe, AZ 85282-2138 | 2009-06-29 |
1912166620 | Michael Denicole | Family Medicine | 2132 E Northview Ave, Phoenix, AZ 85020-5661 | 2008-06-06 |
1265572358 | David G Greenberg | Family Medicine | 810 W Bethany Home Rd, Phoenix, AZ 85013-1654 | 2007-02-07 |
1235769613 | Akos Primary Care, LLC | Family Medicine | 5104 N 67th Ave, Glendale, AZ 85301-6541 | 2020-01-24 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.