Provider Demographics
NPI:1750322731
Name:ROBINSON, BRIAN EDWARD (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:EDWARD
Last Name:ROBINSON
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 1430
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-1430
Mailing Address - Country:US
Mailing Address - Phone:540-689-7000
Mailing Address - Fax:540-689-7011
Practice Address - Street 1:2008 HEALTH CAMPUS DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8679
Practice Address - Country:US
Practice Address - Phone:540-689-7000
Practice Address - Fax:540-689-7011
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045164207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1750322731Medicaid
830008247OtherRAILROAD MEDICARE
700020013OtherCIGNA
WV0085033-000OtherWV MEDICAID
183906OtherSOUTHERN HEALTH
VA1000870001OtherDME PROVIDER
VA59699OtherOPTIMA
110008403Medicare ID - Type Unspecified
E45672Medicare UPIN
VA5874726Medicaid
236212OtherANTHEM/BCBS