NPIMap

Individual provider Active NPI

Julian Robledo, MD

  • Emergency Medicine Physician
  • Southside, AL
National Provider Identifier
1497713036
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00022915 Issued in AL
Practice address
3675 Hood LN
Southside, AL 35907-7075
Phone
(256) 413-7465
NPI assigned
May 3, 2006
Last updated
Apr 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00022915 AL Primary

Addresses

Primary practice location

3675 Hood LN
Southside, AL 35907-7075

Mailing address

3675 Hood LN
Southside, AL 35907-7075
Phone (256) 413-7465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000226 AL Practitioner - Internal MedicinePractitioner - Emergency Medicine 2163325283 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians
Erx-Bama, LLCGroup PAC ID 9931592946, 8 clinicians

Practice addresses (Care Compare)

211 Hospital Rd
Red Bay, AL 35582-3858
Phone (256) 356-8160

83825 Hwy 9
Ashland, AL 36251-7981
Phone (866) 488-4558

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00022915ALMDEmergency Medicine Physician
22685ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivycreek of Elmore LLC CurrentSince Oct 1, 2024 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Oct 1, 2024 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Erx-Bama, LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Open MRI of Decatur LLC Past Accepting new patients
Albert Rains Emergency Physicians Emergency Medicine Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Riverview Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
Carraway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Radiology of Hunstville PC Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1497713036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 HOOD LN",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359077075",
            "telephone_number": "256-413-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 HOOD LN",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359077075",
            "telephone_number": "256-413-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLEDO",
        "first_name": "JULIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00022915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southside, AL

Sources for this page

Verify at the official NPI Registry.