Individual provider Active NPI

Robert H. Hurlbutt IV

  • Specialist
  • Anniston, AL
National Provider Identifier
1376506584
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00007736 Issued in AL
Practice address
901 Leighton Ave
Suite 601
Anniston, AL 36207-5700
Phone
(256) 236-4426
Fax
(256) 238-8830
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00007736 AL Primary

Addresses

Primary practice location

901 Leighton Ave
Suite 601
Anniston, AL 36207-5700

Mailing address

901 Leighton Ave
Suite 601
Anniston, AL 36207-5700
Phone (256) 236-4426

Other identifiers 2

IdentifierTypeStateIssuer
528601340MedicaidAL
040007341OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00007736ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Ear, Nose & Throat, P.C. Specialist CurrentSince Nov 19, 2008 Accepting new patients

Locations

901 Leighton Ave
Ste 601
Anniston, AL 36207
Phone (256) 236-4426

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1376506584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "address_2": "SUITE 601",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075700",
            "telephone_number": "256-236-4426",
            "fax_number": "256-238-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "address_2": "SUITE 601",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075700",
            "telephone_number": "256-236-4426",
            "fax_number": "256-238-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBUTT",
        "first_name": "ROBERT",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00007736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528601340",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040007341",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.