Organization Active NPI

Walker Baptist Medical Center-Mark Roberts MD

  • Diagnostic Radiology Physician
  • Jasper, AL
National Provider Identifier
1023291903
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD
Practice address
3400 Highway 78 East; Medical Arts Tower
Suite 218
Jasper, AL 35501-8951
Phone
(205) 387-4472
Fax
(205) 387-4753
NPI assigned
Dec 13, 2007
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST HEALTH CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
John M. Blackburn
Title
Interim President & Ceo
Phone
(205) 715-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

3400 Highway 78 East; Medical Arts Tower
Suite 218
Jasper, AL 35501-8951

Mailing address

200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102

National Provider Directory

National Provider Directory
Part of
Baptist Health Centers LLC

Locations

3400 Highway 78 E
Ste 218
Jasper, AL 35501
Phone (205) 221-6758

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1023291903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEACON PKWY W",
            "address_2": "SUITE 330",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 EAST; MEDICAL ARTS TOWER",
            "address_2": "SUITE 218",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018951",
            "telephone_number": "205-387-4472",
            "fax_number": "205-387-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "INTERIM PRESIDENT & CEO",
        "authorized_official_telephone_number": "205-715-5901"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.