Organization Active NPI

R. Frank Roberts, Jr., M.D., P.C.

  • Surgery Physician
  • Huntsville, AL
National Provider Identifier
1306875133
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12306 Issued in AL
Legal business name
R. FRANK ROBERTS, JR., M.D., P.C.
Practice address
201 Sivley Rd SW Ste 410
Huntsville, AL 35801-5146
Phone
(256) 517-1522
Fax
(256) 534-2132
NPI assigned
Jul 2, 2006
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. R Frank Roberts Jr., M.D.
Title
President
Phone
(256) 517-1522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12306 AL Primary

Addresses

Primary practice location

201 Sivley Rd SW Ste 410
Huntsville, AL 35801-5146

Mailing address

201 Sivley Rd SW Ste 410
Huntsville, AL 35801-5146
Phone (256) 517-1522

Other identifiers 2

IdentifierTypeStateIssuer
51505249OtherALBLUE CROSS BLUE SHIELD
529910640MedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1306875133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW STE 410",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015146",
            "telephone_number": "256-517-1522",
            "fax_number": "256-534-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW STE 410",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015146",
            "telephone_number": "256-517-1522",
            "fax_number": "256-534-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. FRANK ROBERTS, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-517-1522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "12306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51505249",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529910640",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.