Individual provider Active NPI

Roy Brian Roberts, M.D., P.C.

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1467434159
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15274 Issued in AL
Practice address
250 Chateau Dr SW
Huntsville, AL 35801-3497
Phone
(256) 881-1989
Fax
(256) 319-1907
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15274 AL Primary

Addresses

Primary practice location

250 Chateau Dr SW
Huntsville, AL 35801-3497

Mailing address

250 Chateau Dr SW
Huntsville, AL 35801-3497
Phone (256) 881-1989

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
I20120906000715 AL Practitioner - Internal Medicine 1951433937

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15274ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1467434159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013497",
            "telephone_number": "256-881-1989",
            "fax_number": "256-319-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013497",
            "telephone_number": "256-881-1989",
            "fax_number": "256-319-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ROY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "15274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.