Provider Demographics
NPI:1225465081
Name:DOBBINS, ROBERT (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:DOBBINS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 S. TRICENTER BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:RESEARCH TRIANGLE PARK
Mailing Address - State:NC
Mailing Address - Zip Code:27709-3398
Mailing Address - Country:US
Mailing Address - Phone:919-483-7922
Mailing Address - Fax:
Practice Address - Street 1:5 MOORE DR
Practice Address - Street 2:
Practice Address - City:RESEARCH TRIANGLE PARK
Practice Address - State:NC
Practice Address - Zip Code:27709-0143
Practice Address - Country:US
Practice Address - Phone:919-483-7922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8121207RE0101X
TNMD0000028135207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH05786Medicare UPIN