Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY BENNINGTON ROBERTS, M.D.
ActiveDR. JEFFREY BENNINGTON ROBERTS, M.D. is a Sports Medicine healthcare provider located in MIDLOTHIAN, Virginia. NPI 1770761603 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MIDLOTHIAN, VA
Registration Details
- NPI Number
- 1770761603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2008 (18.574951392525 yrs)
- Last Updated
- Apr 5, 2011
- Licenses
-
0101248946 (VA)2007-00785 (NC)
Practice Information
- Address
-
13540 HULL STREET RDMIDLOTHIAN, VA, 231122107Browse VA providers · Browse ZIP 23112
- Phone
- 8047396142
- Fax
- 8047398923
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.