DR. JOHN DOUGLAS ROBERTSON M.D. NPI 1841250156

NPI Information

NPI: 1841250156
Provider Name: DR. JOHN DOUGLAS ROBERTSON, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
6727 TAYLOR COURT
MONTGOMERY, AL
ZIP 36117
Phone: (334) 284-2800
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DR. John Douglas Robertson, M.D. is a plastic and reconstructive surgery surgery in Montgomery, AL with 28 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. John Douglas Robertson, M.D. NPI is 1841250156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

6727 TAYLOR COURT
MONTGOMERY, AL
ZIP 36117-708
Phone: (334) 284-2800
Fax: (334) 284-0438

The NPI 1841250156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 12/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		24023	ALABAMA	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	24023	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H82107	MEDICARE UPIN	ALABAMA
2	051553528	MEDICAID	ALABAMA
3	051515857	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
4	15857	OTHER	ALABAMA	BC/BS PROVIDER #
5	051553528	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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