Individual provider Active NPI

Robert Evans Egbert, M.D.

  • Diagnostic Radiology Physician
  • Dothan, AL
National Provider Identifier
1730409608
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35134 Issued in AL
Practice address
2015 Alexander Dr
Dothan, AL 36301-3003
Phone
(334) 671-1696
Fax
(334) 794-0721
NPI assigned
Jun 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35134 AL Primary

Addresses

Primary practice location

2015 Alexander Dr
Dothan, AL 36301-3003

Mailing address

2015 Alexander Dr
Dothan, AL 36301-3003
Phone (334) 671-1696

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
I20160628001983 AL Practitioner - Diagnostic Radiology 7618276957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of Dothan PCGroup PAC ID 2163465147, 21 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111

1900 Fairview Ave
Dothan, AL 36301-3008
Phone (334) 793-9511

400 N Edwards St
Enterprise, AL 36330-2510
Phone (334) 347-0584

Hospital & facility affiliations

  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
  • Jackson Hospital Hospital, Marianna, FL, CCN 100142
  • Medical Center Barbour Hospital, Eufaula, AL, CCN 011307

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
95
Improvement activities
40
Cost
72.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35134ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Dothan PC Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1900 Fairview Ave
Dothan, AL 36301
Phone (334) 793-9511

2015 Alexander Dr
Dothan, AL 36301
Phone (334) 671-1696

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1730409608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 ALEXANDER DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013003",
            "telephone_number": "334-671-1696",
            "fax_number": "334-794-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 ALEXANDER DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013003",
            "telephone_number": "334-671-1696",
            "fax_number": "334-794-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "ROBERT",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "35134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.