Provider Demographics
NPI:1033551502
Name:ROBINSON, BRIAN JAMES (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:JAMES
Last Name:ROBINSON
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:870 STATE FARM RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4861
Mailing Address - Country:US
Mailing Address - Phone:828-264-4545
Mailing Address - Fax:828-263-5698
Practice Address - Street 1:870 STATE FARM RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4861
Practice Address - Country:US
Practice Address - Phone:828-264-4545
Practice Address - Fax:828-263-5698
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2014-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA08531363A00000X
NC0010-05150363A00000X
TNPA2530363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant