1. Home
  2. Directory
  3. NPI Profile

DR. NOLEN FREDERICK ROBERSON III M.D.
NPI 1306150834
Family Medicine in Fpo, AP

Active since July 26, 2010PECOS Enrolled

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nolen Frederick Roberson Iii M.d. NPPES

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

DR. NOLEN FREDERICK ROBERSON III M.D. (NPI 1306150834) is an individual family medicine provider in Fpo, AP, licensed in Indiana (01070050A) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1306150834
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NOLEN FREDERICK ROBERSON IIICredential: M.D.
Location AddressPSC 475 BOX 1Fpo, AP 96350-1200
Mailing AddressPsc 475 Box 1Fpo, AP 96350-1200 · (046) 816-7411
Phone(046) 816-7411
Sole ProprietorNo
Enumeration DateJuly 26, 2010
Last NPPES UpdateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1306150834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01070050A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 12080 Child St, Family Medicine DeptJacksonville, FL 32214-5005 · Phone (904) 554-7762

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nolen Frederick Roberson Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY JAMES MARIN D.D.S.
Dentist (Endodontics)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5069
JASON PAUL JENSEN OTR/L, CHT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5348
ANDREA L HAYES MSH, RD/RN
Dietitian, Registered
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8658
MR. SAMUEL FOSTER OT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 253-4562
KIRSTEN LEANNE SANDOVAL
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(818) 277-9111
DR. MIRIAM BEHPOUR DMD
Dentist (General Practice)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-7144
PHILIP DEAN PETERSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8560
JON STOCKTON MD, MPHIL
Anesthesiology
PSC 475 BOX 1
FPO, AP 96350
(303) 898-0208

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 Nolen Roberson's NPI number?

The NPI number for Nolen Roberson is 1306150834. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Where is Nolen Roberson located?

Nolen Roberson practices at Psc 475 Box 1, Fpo, AP 96350. The listed phone number is (046) 816-7411.

What is Nolen Roberson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nolen Roberson enrolled in Medicare?

Yes. Nolen Roberson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nolen Roberson was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.