DR. RANDY DOUGLAS PROFFITT M.D. NPI 1528085347

NPI Information

  • NPI: 1528085347
  • Provider Name: DR. RANDY DOUGLAS PROFFITT, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 740 HILLCREST RD
    SUITE C
    MOBILE, AL
    ZIP 36695
  • Phone: (251) 607-0300

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NPI Details

DR. Randy Douglas Proffitt, M.D. is a plastic and reconstructive surgery surgery in Mobile, AL. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Randy Douglas Proffitt, M.D. NPI is 1528085347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

740 HILLCREST RD
SUITE C
MOBILE, AL
ZIP 36695-924
Phone: (251) 607-0300
Fax: (251) 607-0377

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/16/2006 and was last updated on 11/1/2007.

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
12086S0122XSurgeryPlastic and Reconstructive Surgery16402ALABAMAYes

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
1E37138MEDICARE UPINALABAMA

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: 11/21/2025

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