Organization Active NPI

Roy Brian Roberts, M.D., P.C.

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1104175512
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15274 Issued in AL
Legal business name
ROY BRIAN ROBERTS, M.D., P.C.
Practice address
250 Chateau Dr SW
Suite 220
Huntsville, AL 35801-6436
Phone
(256) 881-1989
Fax
(256) 319-1368
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Roy Brian Roberts, M.D.
Title
Pyhsician/ President
Phone
(256) 881-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 15274 AL Primary

Addresses

Primary practice location

250 Chateau Dr SW
Suite 220
Huntsville, AL 35801-6436

Mailing address

250 Chateau Dr SW
Suite 220
Huntsville, AL 35801-6436
Phone (256) 881-1989

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1104175512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHATEAU DR SW",
            "address_2": "SUITE 220",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016436",
            "telephone_number": "256-881-1989",
            "fax_number": "256-319-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHATEAU DR SW",
            "address_2": "SUITE 220",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016436",
            "telephone_number": "256-881-1989",
            "fax_number": "256-319-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY BRIAN ROBERTS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PYHSICIAN/ PRESIDENT",
        "authorized_official_telephone_number": "256-881-1989",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "15274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.