Robert P. Bolling, MD, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

24251 Issued in AL

Legal business name

ROBERT P. BOLLING, MD, LLC

Practice address

100 Towncenter Blvd Ste 111
Tuscaloosa, AL 35406-1832

Phone

(205) 330-8820

Fax

(205) 333-2515

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Robert P Bolling, MD

Title

Owner

Phone

(205) 330-8820

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Southeastern Plastic Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Ronald Pernia, M.D.

  • Specialist
  • Tuscaloosa, AL
  • NPI 1174504336
  NPD

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1164680914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551090",
            "telephone_number": "205-748-0158",
            "fax_number": "205-932-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWNCENTER BLVD STE 111",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061832",
            "telephone_number": "205-330-8820",
            "fax_number": "205-333-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. BOLLING, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-330-8820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "24251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-21951",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-WINFIELD",
            "identifier": "143956",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9185060",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135596",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony James Roberson, PHD, PMHNP-BC
• William Ray Roberson III
• Robert J. Bentley LLC
• Robert J. Bentley LLC
• Robert L. Moore, P.C.
• Adrian W Roberts, CRNP
• Brian Miller Roberts, DO
• David Roberts, MD
• Kaylah Butterworth Roberts, OTR/L
• Matthew Owen Roberts, CRNA

• All providers in Tuscaloosa, AL
• Plastic and Reconstructive Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.