Provider Demographics
NPI:1205984416
Name:MURPHY, ROBERT BRYAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRYAN
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5196 HILL RD E STE 300
Mailing Address - Street 2:
Mailing Address - City:LAKEPORT
Mailing Address - State:CA
Mailing Address - Zip Code:95453-6374
Mailing Address - Country:US
Mailing Address - Phone:707-263-6885
Mailing Address - Fax:707-263-6624
Practice Address - Street 1:106 LINER DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-2310
Practice Address - Country:US
Practice Address - Phone:864-227-6371
Practice Address - Fax:864-227-6345
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC89239207V00000X
TNMD42586207V00000X
CAC149327207V00000X
NC2010-01041207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4205901OtherBLUE CROSS
TN30003651Medicare PIN
TN4205901OtherBLUE CROSS