Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Thomas Roberts, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629395405

Dr. Jerry Thomas Roberts, DPM is a Podiatry in Somerset, Kentucky. Graduated from Kent State University College of Podiatric Medicine in 2010, 16 years ago. Practices with Upperline Healthcare PC, a 188-clinician group and accepts Medicare assignment. Licensed in Georgia and Kentucky.

Years since qualifying
16
Trained at
Kent State University College of Podiatric Medicine
Licensed in
GA, KY
In the registry since
2010
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

117 Tradepark Dr
Somerset, KY 42503-3428
Phone: (606) 679-2773
Fax: (606) 679-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 00439 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence POD001206 (GA)

Record details

NPI number1629395405
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 3, 2010
Last updated in NPPESOctober 16, 2015
Mailing address117 Tradepark Dr, Somerset, KY 42503-3428

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice Upperline Healthcare Pc — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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