Robert Bentley, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

00005543 Issued in AL

Practice address

4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-2671

Phone

(205) 759-1519

Fax

(205) 750-8612

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Dermatology

Education

University of Alabama School of Medicine, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert J Bentley LLCGroup PAC ID 5799054904, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01E0
• bcbs alabama network 01A0
• bcbs alabama network 01G0
• bcbs alabama network 01B0
• bcbs alabama network 01I0
• bcbs alabama network 01H0

Interoperability endpoints

• Direct secure messaging: robert.bentley.1@26162.direct.athenahealth.com

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.

• Robert J. Bentley LLC

  • Dermatology Physician
  • Tuscaloosa, AL
  • NPI 1366970253
  Medicare reassignment Care Compare group NPD Authorized official
• Robert J. Bentley LLC

  • Dermatology Physician
  • Tuscaloosa, AL
  • NPI 1790338994
  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1548201544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 RICE MINE RD NE STE 40",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062671",
            "telephone_number": "205-759-1519",
            "fax_number": "205-750-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 RICE MINE RD NE STE 40",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062671",
            "telephone_number": "205-759-1519",
            "fax_number": "205-750-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "00005543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198440",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051000404",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102G739427",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Calvin Bennett Sr., DMD
• Maegan Pierce Bennett, M.S., CCC-SLP
• Craig Michael Benoit, M.D.
• Brett Chandler Bentley, MD
• Lauren Elizabeth Bentley, PA-C
• Stephen Clinton Bentley
• Maria Annika Bergman, PH.D.
• Carlos Eugenio Berry, M.D.
• Dirk L Berry, MD
• Shree Antionette Berry

• Dermatology Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.