Active NPI
Robert H. Hurlbutt IV
- Specialist
- Anniston, AL
National Provider Identifier
1376506584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00007736
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528601340 | Medicaid | AL | |
| 040007341 | Other | AL | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00007736 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anniston Ear, Nose & Throat, P.C. | Specialist | Current | 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.
-
- Specialist
- Anniston, AL
- NPI 1659489615
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.