FULLER ROBERTS OB-GYN AND PRIMARY CARE
NPI 1366814113
Obstetrics & Gynecology in South Boston, VA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fuller Roberts Ob-gyn And Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fuller Roberts Ob-Gyn And Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Fuller Roberts Ob-Gyn And Primary Care enrolled in Medicare?
Yes. Fuller Roberts Ob-Gyn And Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fuller Roberts Ob-Gyn And Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Fuller Roberts Ob-Gyn And Primary Care, in Hospitalist and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Fuller Roberts Ob-Gyn And Primary Care · NPI 1366814113
Obstetrics & Gynecology organization in South Boston, Virginia. Organization record, active in the CMS NPPES registry since October 20, 2015.
## Identity
- **NPI:** 1366814113 (Entity type: Organization)
- **Enumerated:** October 20, 2015
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Duc Trieu, OWNER / M.D.
## Practice location
- **Address:** 2212 WILBORN AVE, South Boston, VA 24592-1630
- **Phone:** (434) 572-8921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hospitalist (1), Obstetrics/Gynecology (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1366814113) · Data from the CMS NPPES public registry.