Roberts, James Gregory

Roberts, James Gregory is an individual health care provider with primary practice located at 2222 N Nevada Ave , Colorado Springs CO 80907-6819. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Roberts, James Gregory can be contacted via phone (719) 776-6700.

Contact Information

Primary practice address
2222 N Nevada Ave Colorado Springs CO 80907-6819
Phone: (719) 776-6700
Fax: (719) 776-6780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60422790 Washington
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD60422790 Washington
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 61178 Arizona
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MC-0454 Idaho
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X CDR.0001339 Colorado

Profile Details

NPI number 1356346936
LBN Legal business name Roberts, James Gregory
Credentials M.D., R.V.T. FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356346936 NPPES
Arizona MEDICAID 091474
Arizona Other 1212093
Arizona MEDICAID 061707311
Arizona Other 61178
Arizona Other TN0101
Arizona Other 325383
Arizona Other 4069830

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