ROBERT J TRACE JR MD PA
NPI 1043541147
Internal Medicine - Gastroenterology in Hagerstown, MD

Active since January 29, 2010
121 E ANTIETAM ST, HAGERSTOWN, MD 21740(301) 739-2560(301) 739-0266 Get Directions Write a Review

NPPES record last updated: January 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert J Trace Jr Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT J TRACE JR MD PA (NPI 1043541147) is a healthcare organization registered as a gastroenterology in Hagerstown, Maryland and active in the NPI registry since January 2010. The organization lists Robert John Trace, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1043541147
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameROBERT J TRACE JR MD PA
Location Address121 E ANTIETAM STHagerstown, MD 21740-5601
Mailing Address121 E Antietam StHagerstown, MD 21740-5601 · (301) 739-2560 · Fax (301) 739-0266
Fax(301) 739-0266
Organization SubpartNo
Authorized OfficialRobert John TracePhysician/owner · (301) 739-2560
Enumeration DateJanuary 29, 2010
NPI 1043541147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MD · D22012
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
121 E ANTIETAM ST, Hagerstown, MD 21740

Other Identifiers 2

Medicare UPIND73872MD
Medicaid964111400MDMD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert J Trace Jr MD PA's NPI number?

The NPI number for Robert J Trace Jr MD PA is 1043541147. It was assigned to this organization in the NPPES registry on January 29, 2010.

Where is Robert J Trace Jr MD PA located?

Robert J Trace Jr MD PA is located at 121 E Antietam St, Hagerstown, MD 21740. The listed phone number is (301) 739-2560.

What is Robert J Trace Jr MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Robert J Trace Jr MD PA was last updated on January 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.