DR. JEFFREY BENNINGTON ROBERTS (NPI# 1770761603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770761603 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY BENNINGTON ROBERTS |
| Credential | M.D. |
| Practice Address |
13540 Hull Street Rd Midlothian VA 23112-2107 |
| Practice Telephone | 8047396142 |
| Practice Fax Number | 8047398923 |
| Mailing Telephone | 8047396142 |
| Mailing Fax Number | 8047398923 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2011-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
0101248946 | VA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2007-00785 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5909191 | 05 | |
| VA | GROUP PTAN | C09633 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295022549 | Jeffrey Roberts | Dentist | 9323 Garland Rd Ste 105, Dallas, TX 75218-3675 | 2011-07-07 |
| 1962575399 | Jeffrey T. Roberts | Chiropractor | 471 Old Street Rd, Peterborough, NH 03458-1264 | 2006-11-15 |
| 1629140652 | Jeffrey Clay Roberts | Pharmacist | 10639 Alabama Highway 168, Boaz, AL 35957 | 2006-11-14 |
| 1598702136 | Jeffrey James Roberts | Specialist/Technologist | San Jose State University, Department of Kinesiology, San Jose, CA 95192-0001 | 2006-06-01 |
| 1477548378 | Jeffrey S Roberts | Radiology | 1 Hospital Drive Suite 102, Asheville, NC 28801-4565 | 2005-09-16 |
| 1386647071 | Jeffrey Alan Roberts | Chiropractor | 496 W Main St, Lebanon, KY 40033-1362 | 2005-05-27 |
| 1487214417 | Jeffrey Alexander Roberts | Surgery | 736 Cambridge St, Brighton, MA 02135-2907 | 2019-06-20 |
| 1366976896 | Jeffrey Roberts | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2017-04-11 |
| 1497162986 | Jeffrey Roberts | Licensed Practical Nurse | 620 S Elder St, Nampa, ID 83686-5212 | 2014-07-16 |
| 1134409311 | Jeffrey A Roberts | Counselor | 118 Central St, Waltham, MA 02453-5465 | 2011-08-19 |
| Street Address |
13540 HULL STREET RD |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770553224 | Victor H Agbeibor | Family Medicine | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2006-01-26 |
| 1043847007 | Oludolapo Ilori | Student in an Organized Health Care Education/Training Program | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2020-03-26 |
| 1164059887 | Kathryn Rose Donovan | Student in an Organized Health Care Education/Training Program | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2020-03-24 |
| 1396371282 | Daniel Jordan | Student in an Organized Health Care Education/Training Program | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2020-03-23 |
| 1528521929 | Valeriya Yabluchanska | Family Medicine | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2019-04-11 |
| 1962965368 | Katherine Farrell Griffin | Student in an Organized Health Care Education/Training Program | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2019-04-11 |
| 1881156362 | Jeffrey Allen Irwin | Student in an Organized Health Care Education/Training Program | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2019-04-03 |
| 1215499066 | Bernd Robert Stab II | Student in an Organized Health Care Education/Training Program | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2019-04-02 |
| 1750843504 | Patricia Rose Jean-charles | Student in an Organized Health Care Education/Training Program | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2019-04-02 |
| 1093277741 | Victoria E Witt | Student in an Organized Health Care Education/Training Program | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326402116 | Che Monte Torry | Family Medicine | 739 Thimble Shoals Blvd Ste 1008, Newport News, VA 23606-3585 | 2016-04-08 |
| 1063802890 | Ferrum College | Family Medicine | 590 Ferrum Mountain Rd, Hank Norton Center, Ferrum, VA 24088 | 2015-02-02 |
| 1013174523 | Kinjal Sohagia | Family Medicine | 732 Thimble Shoals Blvd Ste 803, Newport News, VA 23606-4218 | 2008-05-21 |
| 1396932323 | Wellnessmd @ Acac LLC | Family Medicine | 406 Albemarle Sq, Charlottesville, VA 22901-1472 | 2007-10-03 |
| 1528261674 | Jason Mchugh | Family Medicine | 2613 Taylor Rd Ste 100, Chesapeake, VA 23321-2246 | 2007-06-07 |
| 1073554713 | Teresa Maria Camden | Family Medicine | 5211 W Broad St, 101, Richmond, VA 23230-3009 | 2006-06-10 |
| 1548237993 | Delmas J Bolin | Family Medicine | 25 W Calhoun St, Salem, VA 24153-3836 | 2006-03-03 |
| 1689296360 | Liberty University, Inc | Family Medicine | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-05-15 |
| 1245709088 | Access Healthcare Multi-specialty Group, Pllc | Family Medicine | 2103 Graves Mill Rd, Forest, VA 24551-2675 | 2018-11-23 |
| 1124556352 | Bluefield College | Family Medicine | 3000 College Ave, Bluefield, VA 24605-2050 | 2017-06-01 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
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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.