NPIMap

Individual provider Active NPI

Bobby Stephen Sanders Jr., MD, MPH

  • Family Medicine Physician
  • Dothan, AL
National Provider Identifier
1174790299
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28758 Issued in AL
Practice address
256 Honeysuckle Rd Ste 20
Dothan, AL 36305-1168
Phone
(334) 699-3320
Fax
(334) 699-3342
NPI assigned
May 8, 2008
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0057744 CO
Family Medicine Physician 207Q00000X ME108836 FL
Family Medicine Physician 207Q00000X 28758 AL Primary

Addresses

Primary practice location

256 Honeysuckle Rd Ste 20
Dothan, AL 36305-1168

Mailing address

PO Box 6289
Dothan, AL 36302-6289
Phone (334) 699-3320

Other practice location 1

256 Honeysuckle Rd Ste 14
Dothan, AL 36305-1168
Phone (334) 699-3320

Other practice location 2

6925 US Highway 98 E Ste 103
Santa Rosa Beach, FL 32459-6100
Phone (850) 655-2616

Other names 1

  • Dr. Stephen Sanders Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090121000469 AL Practitioner - Family PracticePractitioner - General Practice 5991869810 Reassigns benefits to 7 organizations
I20110627000202 FL Practitioner - Family Practice 5991869810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Extended Care Medical Associates LLCGroup PAC ID 8921275710, 3 clinicians
Spectracare Health Systems IncGroup PAC ID 3779509765, 15 clinicians

Practice addresses (Care Compare)

256 Honeysuckle Rd
Dothan, AL 36305-1168
Phone (334) 699-3320

3542 Montgomery Hwy
Dothan, AL 36303-2165
Phone (334) 712-2720

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue842
Removal of skin lesions22
Removal of nail tissue40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28758ALMDFamily Medicine Physician
DR.0057744COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectracare Health Systems, Inc. CurrentSince Jan 2, 2012 Accepting new patients
Baptist Physician Associates LLC Family Medicine CurrentSince Feb 27, 2017 Accepting new patients
Palmetto Infusion Services LLC CurrentSince Dec 1, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Jul 1, 2015 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Mar 1, 2016 Accepting new patients
Southland Hospitalist at Ozark, PL CurrentSince Dec 2, 2012 Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Jul 1, 2015 Accepting new patients
Extended Care Medical Associates LLC Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Accurx Infusion Center, LLC CurrentSince Nov 1, 2022 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Mar 1, 2016 Accepting new patients
Flowers HB Medical Services LLC CurrentSince Jul 9, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine Current Accepting new patients
Spectracare Integrated Services LLC PastSince Oct 15, 2019 Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

6883 US Highway 90
Ste 101
Daphne, AL 36526
Phone (205) 769-6300

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

256 Honeysuckle Rd
Ste 14
Dothan, AL 36305
Phone (334) 794-5467

256 Honeysuckle Rd
Ste 20
Dothan, AL 36305
Phone (334) 446-0600

2826 Ross Clark Cir
Ste 105
Dothan, AL 36301
Phone (888) 410-0317

3542 Montgomery Hwy
Dothan, AL 36303
Phone (334) 712-2720

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1083 Sanders Ave
Graceville, FL 32440
Phone (334) 794-6611

1825 Kingsley Ave
Ste 201
Orange Park, FL 32073

1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

220 9th St
Port St Joe, FL 32456
Phone (850) 229-8244

2050 Saint Johns Pkwy
Ste 109
St Johns, FL 32259
Phone (954) 815-4321

Interoperability endpoints

  • Direct secure messaging: bobby.sanders.1@14940.direct.athenahealth.com
  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1174790299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6289",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026289",
            "telephone_number": "334-699-3320",
            "fax_number": "334-699-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HONEYSUCKLE RD STE 20",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051168",
            "telephone_number": "334-699-3320",
            "fax_number": "334-699-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Honeysuckle Rd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051168",
            "country_code": "US",
            "telephone_number": "334-699-3320",
            "fax_number": "334-699-3342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6925 US Highway 98 E Ste 103",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324596100",
            "country_code": "US",
            "telephone_number": "850-655-2616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BOBBY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0057744",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108836",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "28758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "SANDERS",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.