Individual provider Active NPI

Robert F Allen, M.D.

  • Specialist
  • Dothan, AL
National Provider Identifier
1023033123
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10583 Issued in AL
Practice address
105 N Pontiac Ave
Suite 1
Dothan, AL 36303-3959
Phone
(334) 677-6425
NPI assigned
Jul 12, 2006
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10583 AL Primary

Addresses

Primary practice location

105 N Pontiac Ave
Suite 1
Dothan, AL 36303-3959

Mailing address

105N Pontiac Ave 1
Dothan, AL 36303-3959
Phone (334) 699-6895

Other identifiers 1

IdentifierTypeStateIssuer
232150900OtherALU.S. DEPT OF LABOR, DFEC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000006 AL Practitioner - Neurology 7012105554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of South Alabama College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 N Pontiac Ave
Suite 1
Dothan, AL 36303-3959
Phone (334) 699-6895

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Eval, P.C. Specialist CurrentSince Jul 30, 2015 Accepting new patients

Locations

105 N Pontiac Ave
#1
Dothan, AL 36303
Phone (334) 699-3895

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1023033123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105N PONTIAC AVE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033959",
            "telephone_number": "334-699-6895",
            "fax_number": "334-677-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PONTIAC AVE",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033959",
            "telephone_number": "334-677-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "10583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT OF LABOR, DFEC",
            "identifier": "232150900",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.