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

Dr. Patrick Banner Robertson, DO

Individual provider Anesthesiology Physician · NPI 1093056749

Dr. Patrick Banner Robertson, DO is an Anesthesiology in Roanoke, Virginia. Qualified in 2013, 13 years ago. Practices with Acv Inc, a 69-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5115 Bernard Dr Ste 201
Roanoke, VA 24018-4367
Phone: (540) 345-0289
Fax: (540) 345-9569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0102204784 (VA)

Record details

NPI number1093056749
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 5, 2013
Last updated in NPPESMay 30, 2017
Mailing address6001 W Outer Dr, Detroit, MI 48235-2614

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Acv Inc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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