Provider Demographics
NPI:1205976883
Name:BILBRO, ROBERT HODGES (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HODGES
Last Name:BILBRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18563
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27619-8563
Mailing Address - Country:US
Mailing Address - Phone:919-782-1806
Mailing Address - Fax:919-782-1669
Practice Address - Street 1:3521 HAWORTH DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7216
Practice Address - Country:US
Practice Address - Phone:919-782-1806
Practice Address - Fax:919-782-1669
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15019207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
20922OtherMEDCOST
8082287OtherCIGNA
NC8915521Medicaid
0452677OtherUNITED HEALTHCARE
NC15521OtherBCBS
20922OtherMEDCOST
201386HMedicare ID - Type Unspecified