Individual provider Active NPI

Robert Burdette Dorroh, CRNA

  • Certified Registered Nurse Anesthetist
  • Tuscaloosa, AL
National Provider Identifier
1376728584
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-056868 Issued in AL
Practice address
809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone
(205) 759-7352
Fax
(205) 759-6397
NPI assigned
Jan 7, 2008
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-056868 AL Primary
Registered Nurse 163W00000X 1-056868 AL

Addresses

Primary practice location

809 University Blvd E
Tuscaloosa, AL 35401-2029

Mailing address

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7352

Other identifiers 1

IdentifierTypeStateIssuer
078881OtherALAMERICAN ASSOCIATION OF NURSE ANESTHETISTS (CERTIFICATION)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080225000713 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244314508 Reassigns benefits to 2 organizations
I20200311002872 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244314508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northport - CrnaGroup PAC ID 3971791286, 27 clinicians

Practice addresses (Care Compare)

2700 Hospital Dr
Northport, AL 35476-3360
Phone (205) 333-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-056868ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northport - Crna Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2022 Accepting new patients
DCH Medical Center Crna Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2011 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

27 Medical Center Dr
Ste 2
Jackson, TN 38301
Phone (731) 426-0310

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1376728584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7352",
            "fax_number": "205-759-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7352",
            "fax_number": "205-759-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORROH",
        "first_name": "ROBERT",
        "middle_name": "BURDETTE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-056868",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-056868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF NURSE ANESTHETISTS (CERTIFICATION)",
            "identifier": "078881",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.