Active NPI
Jeffrey Scott Robertson, MD
- Facial Plastic Surgery Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 18109
- Practice address
- 2001 Providence Park
Birmingham, AL 35242-4680 - Phone
- (205) 982-7220
- Fax
- (205) 982-7228
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 18109 | AL | Primary |
Addresses
Primary practice location
2001 Providence Park
Birmingham, AL 35242-4680
Mailing address
2001 Providence Park
Birmingham, AL 35242-4680
Phone (205) 982-7220
Other practice location 1
5346 Stadium Trace Pkwy
Hoover, AL 35244-4582
Phone (205) 982-7220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240004512 | Other | AL | MEDICARE RAILROAD |
| 631164786 | Other | AL | TAX ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Providence Park
Birmingham, AL 35242-4680
Phone (205) 982-7220
5346 Stadium Trace Pkwy
Suite 200
Hoover, AL 35244-4584
Phone (205) 982-7220
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama ENT & Allergy, PC | Current | Accepting new patients | |
| Alabama ENT Associates, P.C. | Past | Accepting new patients | |
| Robert J Sciacca MD PC | Past | Accepting new patients |
Locations
2001 Providence Park
Birmingham, AL 35242
Phone (205) 982-7220
5346 Stadium Trace Pkwy
Ste 200
Hoover, AL 35244
Phone (205) 982-7220
Interoperability endpoints
- jeffrey.robertson@scottrobertsonmd.directbygreenway.com
Organizations & group practices 3
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.
-
- Specialist
- Birmingham, AL
- NPI 1386749885
-
- Otolaryngology Physician
- Birmingham, AL
- NPI 1851485445
-
- Otolaryngology Physician
- Birmingham, AL
- NPI 1023319563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1235117607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 PROVIDENCE PARK",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352424680",
"telephone_number": "205-982-7220",
"fax_number": "205-982-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 PROVIDENCE PARK",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352424680",
"telephone_number": "205-982-7220",
"fax_number": "205-982-7228"
}
],
"practiceLocations": [
{
"address_1": "5346 Stadium Trace Pkwy",
"address_purpose": "LOCATION",
"city": "Hoover",
"state": "AL",
"postal_code": "352444582",
"country_code": "US",
"telephone_number": "205-982-7220",
"fax_number": "205-538-5015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "AL",
"license": "18109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "240004512",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "631164786",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.