Individual provider Active NPI

Robert Fulmer Garner III, M.D.

  • Specialist
  • Anniston, AL
National Provider Identifier
1104823467
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10301 Issued in AL
Practice address
425 E 10TH St
Suite B
Anniston, AL 36207-4787
Phone
(256) 236-3485
Fax
(256) 237-3787
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10301 AL Primary

Addresses

Primary practice location

425 E 10TH St
Suite B
Anniston, AL 36207-4787

Mailing address

425 E 10TH St
Suite B
Anniston, AL 36207-4787
Phone (256) 236-3485

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
I20100804000108 AL Practitioner - Diagnostic Radiology 0941300941 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10301ALMDSpecialist
10836ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Radiological Group PC CurrentSince May 24, 2017 Accepting new patients
Birmingham Radiological Group, PC CurrentSince May 24, 2017 Accepting new patients

Locations

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

Organizations & group practices 2

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1104823467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 10TH ST",
            "address_2": "SUITE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074787",
            "telephone_number": "256-236-3485",
            "fax_number": "256-237-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 10TH ST",
            "address_2": "SUITE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074787",
            "telephone_number": "256-236-3485",
            "fax_number": "256-237-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "ROBERT",
        "middle_name": "FULMER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "10301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.