Provider Demographics
NPI:1023004447
Name:DELBENE, ROBERT T (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:DELBENE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-0278
Mailing Address - Country:US
Mailing Address - Phone:828-452-4343
Mailing Address - Fax:828-452-1477
Practice Address - Street 1:289 ACCESS RD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28785-9006
Practice Address - Country:US
Practice Address - Phone:828-452-4343
Practice Address - Fax:828-452-1477
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC346213E00000X, 213EP1101X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0806BOtherBCBS
NC890806BMedicaid
NC890806BMedicaid
NC0806BOtherBCBS
NC480016417Medicare PIN
2432485BMedicare ID - Type Unspecified