Dr.David Roberson Jr.DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

87 Issued in AL

Legal business name

DR.DAVID ROBERSON JR.DPM LLC

Practice address

840 Oak Grove Rd
Homewood, AL 35209-6506

Phone

(205) 942-0514

Fax

(205) 942-8523

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Roberson Jr., DPMNPI 1780741322

Title

Podiatrist

Phone

(205) 942-0514

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Roberson II, D.P.M.

  • Podiatrist
  • Homewood, AL
  • NPI 1780741322
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1689946519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 OAK GROVE RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096506",
            "telephone_number": "205-942-0514",
            "fax_number": "205-942-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 OAK GROVE RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096506",
            "telephone_number": "205-942-0514",
            "fax_number": "205-942-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.DAVID ROBERSON JR.DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "205-942-0514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "87",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51086600",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Dobbins, DPT
• Savannah Kathryn Donahoo, MSN, FNP-BC
• Claire Hood Donaldson, PAC
• Sarah Amelia Donnell, MD
• Dr. Robert K. Rudolph, D.M.D., PC
• Tate S Drew, LMSW
• Duca Chiropractic, Inc
• Scott Duca, D.C.
• Mell Leonadis Duggan Jr., M.D.
• Bailey Thrash Duke, PA

• Podiatrist in Homewood, AL
• Providers in Homewood, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.