Individual provider Active NPI

Robert Davis Stibolt Jr., MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1780247940
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
41857 Issued in AL
Practice address
619 19TH St S # Jtn331
Birmingham, AL 35249-3326
Phone
(205) 934-3166
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 41857 AL Primary
Diagnostic Radiology Physician 2085R0202X ME182315 FL
Diagnostic Radiology Physician 2085R0202X 0101287937 VA

Addresses

Primary practice location

619 19TH St S # Jtn331
Birmingham, AL 35249-3326

Mailing address

619 19TH St S # Jtn331
Birmingham, AL 35249-1900
Phone (205) 934-3166

Other practice location 1

52 Underwood St
Orlando, FL 32806-1110
Phone (407) 649-6823

Other practice location 2

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

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
I20240904000855 AL Practitioner - Diagnostic Radiology 7618417718 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Urology Centers of Alabama, PCGroup PAC ID 0941264345, 60 clinicians
Birmingham Radiological Group PCGroup PAC ID 8022922756, 40 clinicians

Practice addresses (Care Compare)

2599 Foothills Dr
Hoover, AL 35226-2355
Phone (540) 741-5610

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

4510 Overton Rd
Suite 106
Birmingham, AL 35210-3849
Phone (205) 663-1023

50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3435

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41857ALMDDiagnostic Radiology Physician
0101287937VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Radiological Group PC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Mary Washington Healthcare Providers LLC Diagnostic Radiology CurrentSince Dec 25, 2025 Accepting new patients
Heritage Diagnostic Center, LLC CurrentSince Jun 1, 2025 Accepting new patients
Premier Imaging Radiology PLLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Urology Centers of Alabama PC CurrentSince Jun 26, 2025 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Jul 1, 2025 Accepting new patients
Urology Centers of Alabama PC Diagnostic Radiology CurrentSince Jun 26, 2025 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Jul 1, 2025 Accepting new patients
Valley Physician Services PC CurrentSince Dec 1, 2025 Accepting new patients
Health Imaging Services LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Birmingham Radiological Group, PC CurrentSince Aug 1, 2024 Accepting new patients

Locations

4510 Overton Rd
Ste 106
Birmingham, AL 35210
Phone (205) 397-1274

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209

3489 Independence Dr
Birmingham, AL 35209

100 Pilot Medical Dr
#150B
Birmingham, AL 35235
Phone (205) 838-1971

1760 Warnke Cir
Cullman, AL 35055
Phone (256) 775-6656

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

3485 Independence Dr
Homewood, AL 35209

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

520 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 848-2273

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Organizations & group practices 11

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 8

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1780247940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S # JTN331",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S # JTN331",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352493326",
            "telephone_number": "205-934-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "407-649-6823",
            "fax_number": "407-849-6470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Sam Perry Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014453",
            "country_code": "US",
            "telephone_number": "540-741-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIBOLT",
        "first_name": "ROBERT",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "41857",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME182315",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101287937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.