Provider Demographics
NPI:1346225679
Name:MCBRIDE, ROBERT P III (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:MCBRIDE
Suffix:III
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:PO BOX 7650
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-0150
Mailing Address - Country:US
Mailing Address - Phone:804-507-1644
Mailing Address - Fax:804-507-0116
Practice Address - Street 1:1603 SKIPWITH RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-5253
Practice Address - Country:US
Practice Address - Phone:804-507-1644
Practice Address - Fax:804-507-0116
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101035382207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6214771Medicaid
VA6214771Medicaid
VA6214771Medicaid