Provider Demographics
NPI:1346711702
Name:SWADLING, ROBERT T (CP, CDA, BOCO)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:T
Last Name:SWADLING
Suffix:
Gender:M
Credentials:CP, CDA, BOCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 NEUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2846
Mailing Address - Country:US
Mailing Address - Phone:252-638-1312
Mailing Address - Fax:252-638-4648
Practice Address - Street 1:2600 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2846
Practice Address - Country:US
Practice Address - Phone:252-638-1312
Practice Address - Fax:252-638-4648
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CPO03325224P00000X
COA00201222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist