Provider Demographics
NPI:1316969322
Name:BATES, ROBLEY D III (MD)
Entity type:Individual
Prefix:DR
First Name:ROBLEY
Middle Name:D
Last Name:BATES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1455 JOHNSTON-WILLIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235
Mailing Address - Country:US
Mailing Address - Phone:804-320-8302
Mailing Address - Fax:804-272-3350
Practice Address - Street 1:1455 JOHNSTON-WILLIS DRIVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-320-8302
Practice Address - Fax:804-272-3350
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101023762208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA202090OtherCIGNA
VA7500891Medicaid
VA048156OtherANTHEM BCBS
VA048156OtherANTHEM BCBS