Individual provider Active NPI

Mark Edward Robinson, M. D.

  • Family Medicine Physician
  • Brewton, AL
National Provider Identifier
1356314140
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12821 Issued in AL
Practice address
1121 Belleville Ave
Brewton, AL 36426-1505
Phone
(251) 809-3160
Fax
(251) 809-3165
NPI assigned
Feb 10, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12821 AL Primary

Addresses

Primary practice location

1121 Belleville Ave
Brewton, AL 36426-1505

Mailing address

PO Box 648
Brewton, AL 36427-0648
Phone (251) 809-3160

Other identifiers 1

IdentifierTypeStateIssuer
000019710MedicaidAL

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
I20050921001183 AL Practitioner - Family Practice 9537193206 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12821ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care by the Bay, LLC CurrentSince Oct 1, 2021 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Sep 26, 2011 Accepting new patients
Brewton Medical Center, LLC Family Medicine Current Accepting new patients
Eastern Shore Urgent Care LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
American Family Care, LLC CurrentSince Sep 26, 2011 Accepting new patients
D.W. McMillan Memorial Hospital Current Accepting new patients
Pineleaf Emergency Physicians LLC Past Accepting new patients

Locations

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

1208 US Highway 98
Daphne, AL 36526
Phone (251) 626-5377

29710 Urgent Care Dr
Daphne, AL 36526
Phone (251) 626-3782

6631 Park Dr
Daphne, AL 36526
Phone (251) 626-5700

6554 Aaron Aronov Dr
Fairfield, AL 35064
Phone (205) 786-5022

919 Odum Rd
Gardendale, AL 35071
Phone (205) 285-2022

2757 Green Springs Hwy
Homewood, AL 35209
Phone (205) 290-0088

1680 Montgomery Hwy
Hoover, AL 35216
Phone (205) 979-0888

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

5235 Rangeline Service Rd S
#101
Mobile, AL 36619
Phone (251) 544-6449

25775 Perdido Beach Blvd
Ste E5
Orange Beach, AL 36561
Phone (251) 974-3004

2970 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-6006

5892 Trussville Crossings Pkwy
Trussville, AL 35235
Phone (205) 228-0080

9070 Highway 69 S
Tuscaloosa, AL 35405
Phone (205) 722-9500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4349/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1356314140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364270648",
            "telephone_number": "251-809-3160",
            "fax_number": "251-809-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 BELLEVILLE AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261505",
            "telephone_number": "251-809-3160",
            "fax_number": "251-809-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000019710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewton, AL

Sources for this page

Verify at the official NPI Registry.