Provider Demographics
NPI:1497783153
Name:SPEAR, ROBERT MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:SPEAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1788 REPUBLIC RD
Mailing Address - Street 2:STE 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4552
Mailing Address - Country:US
Mailing Address - Phone:757-422-2966
Mailing Address - Fax:757-422-4563
Practice Address - Street 1:1788 REPUBLIC RD
Practice Address - Street 2:STE 200
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-4552
Practice Address - Country:US
Practice Address - Phone:757-422-2966
Practice Address - Fax:757-422-4563
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01020502162081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA283118OtherBLUE CROSS BLUE SHIELD
VA006801412Medicaid
11546841OtherTRICARE
2300227OtherUNITED HEALTH CARE
NC690567YMedicaid