Provider Demographics
NPI:1558334193
Name:FELDMAN, ROBERT (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:876 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-2904
Mailing Address - Country:US
Mailing Address - Phone:540-587-6963
Mailing Address - Fax:540-587-6962
Practice Address - Street 1:876 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-2904
Practice Address - Country:US
Practice Address - Phone:540-587-6963
Practice Address - Fax:540-587-6962
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000619213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA176821OtherANTHEM
VA650167090OtherPIEDMONT COMMUNITY HEALTH
VAUNION BANKERS INSOther650167090
VA009301691Medicaid
VA240479OtherTRIGON BLUE CROSS BLUE SH
VA010291054Medicaid
VA22545OtherVA PREMIER
480020055OtherRR MCR OLD
P00403819OtherRR MCR
VA240479OtherBLUE CROSS BLUE SHIELD
VA650167090-24523-0000OtherTRICARE
VA650167090OtherUNITED HEALTH CARE
VA13825OtherPARTNERS NATIONAL HEALTH
296673OtherBCBS NEW
296673OtherBCBS NEW
VA22545OtherVA PREMIER
480020055OtherRR MCR OLD
VA650167090OtherUNITED HEALTH CARE
0485900002Medicare NSC