Provider Demographics
NPI:1942272307
Name:STEPHENSON, ROBERT BRIAN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:BRIAN
Last Name:STEPHENSON
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2900 LAMB CIRCLE
Mailing Address - Street 2:SUITE L-760
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-6345
Mailing Address - Country:US
Mailing Address - Phone:540-731-2436
Mailing Address - Fax:540-731-2439
Practice Address - Street 1:2900 LAMB CIR
Practice Address - Street 2:SUITE L-760
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6344
Practice Address - Country:US
Practice Address - Phone:540-731-2436
Practice Address - Fax:540-731-2439
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2020-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101042429207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1942272307OtherINTOTAL
VA1942272307OtherOWCP
VA1942272307OtherGATEWAY
VA1942272307OtherAETNA
VA541586601118OtherTRICARE/CHAMPUS
VA1942272307OtherUNITED HEALTHCARE
VA3810002168OtherMEDICAID OF WEST VIRGINIA
VA1942272307OtherOPTIMA HEALTH PLAN
VA1942272307OtherANTHEM
VA1942272307OtherHEALTHKEEPERS PLUS
VA1942272307OtherVA HEALTH NETWORK
VA1942272307OtherCIGNA
VA1942272307Medicaid
VA1942272307OtherHUMANA MEDICARE
VA1942272307OtherUMWA
VA1942272307OtherVA PREMIER
VA1942272307OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA1942272307OtherHEALTHKEEPERS
VA1942272307OtherMAJESTACARE
VA1942272307OtherCIGNA
VA1942272307OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY