Provider Demographics
NPI:1184678179
Name:POPE, ROBERT NEIL (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:NEIL
Last Name:POPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BRECKENRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1089
Mailing Address - Country:US
Mailing Address - Phone:270-684-0028
Mailing Address - Fax:270-685-8233
Practice Address - Street 1:1126 TRIPLETT ST
Practice Address - Street 2:SUITE 102
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3155
Practice Address - Country:US
Practice Address - Phone:270-687-9000
Practice Address - Fax:270-689-2052
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY19617207R00000X, 207RP1001X, 207RS0012X
IN01036625A207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000508809OtherANTHEM PROVIDER
INP00379711OtherINDIV RAILROAD MEDICARE
IN237890OtherMEDICARE GROUP
IN100006780Medicaid
IN237890VOtherMEDICARE INDIVIDUAL
IN200829650JOtherMEDICAID GROUP
KY64196173Medicaid
KY65945420OtherMEDICAID GROUP
INDF3251OtherGROUP RAILROAD MEDICARE
IN100006780Medicaid