NPIMap

Individual provider Active NPI

Stephen A Roberts, D.O.

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1063416667
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO640 Issued in AL
Practice address
1771 Skyland Blvd E
Tuscaloosa, AL 35405-4235
Phone
(205) 553-0199
Fax
(205) 553-3024
NPI assigned
Jun 10, 2005
Last updated
Nov 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO640 AL Primary

Addresses

Primary practice location

1771 Skyland Blvd E
Tuscaloosa, AL 35405-4235

Mailing address

1771 Skyland Blvd E
Tuscaloosa, AL 35405-4235
Phone (205) 553-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041124000796 AL Practitioner - Emergency MedicinePractitioner - Family Practice 7618932112 Reassigns benefits to 1 organization
I20250922002536 MT Practitioner - Family Practice 7618932112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Medical CenterGroup PAC ID 6507159514, shared by 5 NPIs, 11 clinicians
County of Sweet GrassGroup PAC ID 0547178154, 8 clinicians

Practice addresses (Care Compare)

301 W 7TH Ave
Big Timber, MT 59011-1228

301 W 7TH Ave
Big Timber, MT 59011-7695
Phone (406) 932-4603

301 W 7TH Ave
Big Timber, MT 59011-7893

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
640ALMDMarriage & Family Therapist
DO640ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Pioneer Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Correct Care, Inc. CurrentSince Oct 13, 2011 Accepting new patients
Pioneer Medical Center CurrentSince Aug 1, 2025 Accepting new patients
West Alabama Orthopaedic and Sports Medicine, PC Past Accepting new patients
Fayette Medical Center Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

Interoperability endpoints

  • Direct secure messaging: stephenroberts@tpsllc.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1063416667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 SKYLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054235",
            "telephone_number": "205-553-0199",
            "fax_number": "205-553-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 SKYLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054235",
            "telephone_number": "205-553-0199",
            "fax_number": "205-553-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.