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

Individual provider Physician Assistant · NPI 1023063674

Robert Bates Tebben, PA is a Physician Assistant in Pittsfield, Massachusetts. Qualified in 2003, 23 years ago. Practices with Berkshire Faculty Services Inc, a 275-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
23
Licensed in
MA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

777 N St Cardiology
Pittsfield, MA 01201
Phone: (413) 395-7580
Fax: (413) 499-8539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1852 (MA)

Record details

NPI number1023063674
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESSeptember 28, 2010
Mailing address725 North St, Pittsfield, MA 01201

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Berkshire Faculty Services Inc — 275 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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