FULLER ROBERTS OB-GYN AND PRIMARY CARE
NPI 1366814113
Obstetrics & Gynecology in South Boston, VA

Active since October 20, 2015
2212 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 572-8921 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fuller Roberts Ob-gyn And Primary Care NPPES

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

FULLER ROBERTS OB-GYN AND PRIMARY CARE (NPI 1366814113) is a healthcare organization registered as an obstetrics & gynecology in South Boston, Virginia and active in the NPI registry since October 2015. The organization lists Duc Trieu, Owner / M.d., as its authorized official.

NPPES Registry Identity

NPI1366814113
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameFULLER ROBERTS OB-GYN AND PRIMARY CARE
Location Address2212 WILBORN AVESouth Boston, VA 24592-1630
Mailing Address2212 Wilborn AveSouth Boston, VA 24592-1630 · (434) 572-8921
Organization SubpartNo
Authorized OfficialDuc TrieuOwner / M.d. · (434) 572-8921
Enumeration DateOctober 20, 2015
NPI 1366814113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in VA · 0101239403
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2212 WILBORN AVE, South Boston, VA 24592

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Surgery
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Nurse Practitioner (Pediatrics)
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Clinic/Center (Ambulatory Surgical)
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Nurse Practitioner (Family)
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Nurse Practitioner
2212 WILBORN AVE
SOUTH BOSTON, VA 24592

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 Fuller Roberts Ob-Gyn And Primary Care's NPI number?

The NPI number for Fuller Roberts Ob-Gyn And Primary Care is 1366814113. It was assigned to this organization in the NPPES registry on October 20, 2015.

Where is Fuller Roberts Ob-Gyn And Primary Care located?

Fuller Roberts Ob-Gyn And Primary Care is located at 2212 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 572-8921.

What is Fuller Roberts Ob-Gyn And Primary Care's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Fuller Roberts Ob-Gyn And Primary Care was last updated on October 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.