Individual provider Active NPI

Robert William Bartel, MD

  • General Practice Physician
  • Dadeville, AL
National Provider Identifier
1164538203
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12348 Issued in AL
Practice address
301 Mariarden Rd
Dadeville, AL 36853-0129
Phone
(256) 825-7164
Fax
(256) 827-0808
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12348 AL Primary

Addresses

Primary practice location

301 Mariarden Rd
Dadeville, AL 36853-0129

Mailing address

PO Box 129
301 Mariarden Rd
Dadeville, AL 36853-0129
Phone (256) 825-7164

Other identifiers 1

IdentifierTypeStateIssuer
543420005MedicaidAL

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
I20100824000012 AL Practitioner - General Practice 5890886766 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12348ALMDGeneral Practice Physician

Practice roles (4 of 10)

OrganizationSpecialtyStatusNew patients
Robert WM Bartel MDPC CurrentSince Apr 1, 1988 Accepting new patients
Chilton Family Care, LLC CurrentSince Apr 1, 2017 Accepting new patients
Ivy Creek of Tallapoosa LLC CurrentSince Sep 1, 2002 Accepting new patients
Ivy Creek of Tallapoosa, LLC CurrentSince Sep 1, 2002 Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

139 E Lafayette St
Dadeville, AL 36853
Phone (256) 825-7833

301 Mariarden Rd
Ste D
Dadeville, AL 36853
Phone (256) 825-7871

301 Mariarden Rd
Ste B
Dadeville, AL 36853
Phone (256) 825-7164

201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677

301 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-7871

Networks

  • bcbs alabama network 01B0
  • bcbs alabama network 01G0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01A0
  • bcbs alabama network 01C0

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1164538203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "address_2": "301 MARIARDEN RD",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368530129",
            "telephone_number": "256-825-7164",
            "fax_number": "256-827-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARIARDEN RD",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368530129",
            "telephone_number": "256-825-7164",
            "fax_number": "256-827-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEL",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "12348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543420005",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dadeville, AL

Sources for this page

Verify at the official NPI Registry.