Active NPI
Bob Arvid Grubbs, MD
- Family Medicine Physician
- Tuscaloosa, AL
National Provider Identifier
1740385038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14148
- Practice address
- 904 Anna Ave
Tuscaloosa, AL 35401 - Phone
- (205) 345-6960
- Fax
- (205) 345-1147
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14148 | AL | Primary |
Addresses
Primary practice location
904 Anna Ave
Tuscaloosa, AL 35401
Mailing address
904 Anna Ave
Tuscaloosa, AL 35401
Phone (205) 345-6960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08351 | Other | AL | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14148 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1740385038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 ANNA AVE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "35401",
"telephone_number": "205-345-6960",
"fax_number": "205-345-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 ANNA AVE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "35401",
"telephone_number": "205-345-6960",
"fax_number": "205-345-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBBS",
"first_name": "BOB",
"middle_name": "ARVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "14148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08351",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.