Provider Demographics
NPI:1003918558
Name:ROBERSON, JAMES CURTIS II (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CURTIS
Last Name:ROBERSON
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8926 WOODYARD RD
Mailing Address - Street 2:SUITE #701
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4220
Mailing Address - Country:US
Mailing Address - Phone:301-856-1682
Mailing Address - Fax:301-856-8214
Practice Address - Street 1:8926 WOODYARD RD
Practice Address - Street 2:SUITE #601
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4220
Practice Address - Country:US
Practice Address - Phone:301-856-1682
Practice Address - Fax:301-856-8214
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC19815207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
46950033OtherBCBS NCA
521054342OtherTRICARE
D0068136OtherMARYLAND LICENSE #
52810102OtherBCBS MARYLAND
P00887806OtherRAILROAD MEDICARE INDIVIDUAL PTAN
746631YZWOtherDC MEDICARE
DCF57861Medicare UPIN
521054342OtherTRICARE
CI2264Medicare PIN
746631YZWOtherDC MEDICARE