DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROBERT CHARLES BLACKWOOD, MD

Deactivated Sole Proprietor

DR. ROBERT CHARLES BLACKWOOD, MD is a Family Medicine healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1407841968 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · VIRGINIA BEACH, VA

This NPI has been deactivated. The record was deactivated on March 22, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1407841968
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2005 (0.52328767123288 yrs)
Last Updated
Dec 9, 2019
Deactivated
Mar 22, 2006
License
0101051005 (VA)
Sole Proprietor
Yes

Practice Information

Address
1201 LAKE JAMES DR
SUITE 200
VIRGINIA BEACH, VA, 234646780
Browse VA providers · Browse ZIP 23464
Phone
7575230022
Fax
7575235018
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in VIRGINIA BEACH, VA

Name Credential NPI
DR. MITCHELL B MILLER MD 1902809437
DR. ANTHONY KIELER RICE JR. M.D. 1043214927
ALLEN R. FENDERSON M.D. 1205832979
DR. MICHELLE ELIZABETH KINGSBURY MD 1669473260
DR. NELSON MARC KARP MD 1942201504
DR. WAYNE TEMPLETON FULLER M.D. 1508867672
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.