Robert Ambrose Martin, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

MD.43674 Issued in AL

Practice address

945 Rustic Ridge Rd
Auburn, AL 36830-3323

Phone

(334) 552-9074

NPI assigned

Jun 21, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1073834404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 RUSTIC RIDGE RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303323",
            "telephone_number": "334-552-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 RUSTIC RIDGE RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303323",
            "telephone_number": "334-552-9074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 S Davis Rd",
            "address_2": "Suite E&F",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302412588",
            "country_code": "US",
            "telephone_number": "706-882-8831",
            "fax_number": "706-298-4989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 McKinney St # 19895",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770026308",
            "country_code": "US",
            "telephone_number": "334-552-9074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ROBERT",
        "middle_name": "AMBROSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32892",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "071595",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "V3047",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "MD.43674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estevan Miguel Mares, ATC/LAT
• Robert Michael Marino, MD, MHA
• Daniel Jess Martin, RD
• James C Martin, DMD
• Patrick Martin
• Brandon Martinez
• Sadie Mason
• Adley Massenburg
• Adahli E Massey, MD
• Maternity Services of District 11, LLC

• Sports Medicine (Family Medicine) Physician in Auburn, AL
• Providers in Auburn, AL by specialty
• Sports Medicine (Family Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.