Active NPI
Robert Fort Hambaugh Jr., MD
- Specialist
- Dothan, AL
National Provider Identifier
1639489313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9131
- Practice address
- 712 Woodland Drive
Dothan, AL 36301 - Phone
- (334) 699-5616
- NPI assigned
- Oct 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 9131 | AL | Primary |
Addresses
Primary practice location
712 Woodland Drive
Dothan, AL 36301
Mailing address
712 Woodland Drive
Dothan, AL 36301
Phone (334) 699-5616
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9131 | AL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1639489313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 WOODLAND DRIVE",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36301",
"telephone_number": "334-699-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 WOODLAND DRIVE",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36301",
"telephone_number": "334-699-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBAUGH",
"first_name": "ROBERT",
"middle_name": "FORT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "9131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.