Active NPI
Robert J. Bentley LLC
- Dermatology Physician
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 5543
- Legal business name
- ROBERT J. BENTLEY LLC
- Practice address
- 900 Veterans Memorial Pkwy
Tuscaloosa, AL 35404-5848 - Phone
- (205) 759-1519
- NPI assigned
- May 23, 2017
- Organization subpart
- Yes
- Parent organization
- ROBERT J.BENTLEY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Bentley, MD
- Title
- Owner/Physician
- Phone
- (205) 759-1519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 5543 | AL | Primary |
Addresses
Primary practice location
900 Veterans Memorial Pkwy
Tuscaloosa, AL 35404-5848
Mailing address
900 Veterans Memorial Pkwy
Tuscaloosa, AL 35404-5848
Other names 1
- Dermatology Care of Alabama
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170703000520 | AL | Part B Supplier - Clinic/Group Practice | 5799054904 |
Receives reassigned benefits from 8 practitioners Practice locations: Tuscaloosa, AL |
National Provider Directory
National Provider Directory- Part of
- Robert J Bentley LLC
Locations
2321 John Hawkins Pkwy
Ste 201
Hoover, AL 35244
Phone (205) 379-8389
2321 John Hawkins Pkwy
Ste 401
Hoover, AL 35244
900 Veterans Memorial Pkwy
Tuscaloosa, AL 35404
Phone (205) 759-1519
4960 Rice Mine Rd NE
Tuscaloosa, AL 35406
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dermatology Physician
- Tuscaloosa, AL
- NPI 1790338994
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495497600000",
"number": "1366970253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VETERANS MEMORIAL PKWY",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 VETERANS MEMORIAL PKWY",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045848",
"telephone_number": "205-759-1519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J. BENTLEY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROBERT J.BENTLEY LLC",
"enumeration_date": "2017-05-23",
"last_updated": "2017-05-23",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "205-759-1519",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "AL",
"license": "5543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dermatology Care of Alabama",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.