NPIMap

Organization Active NPI

Robert J. Bentley LLC

  • Dermatology Physician
  • Tuscaloosa, AL
National Provider Identifier
1790338994
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ROBERT J. BENTLEY LLC
Practice address
4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-2671
Phone
(205) 759-1519
Fax
(205) 750-8612
NPI assigned
Jul 17, 2019
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Rebekah Mason
Title
Administrator
Phone
(205) 759-1519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-2671

Mailing address

4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-2671
Phone (205) 759-1519

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@dermcarealabama.com Direct

National Provider Directory

National Provider Directory

Locations

4960 Rice Mine Rd NE
Ste 40
Tuscaloosa, AL 35406
Phone (205) 759-1519

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1790338994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 RICE MINE RD NE STE 40",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062671",
            "telephone_number": "205-759-1519",
            "fax_number": "205-750-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 RICE MINE RD NE STE 40",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062671",
            "telephone_number": "205-759-1519",
            "fax_number": "205-750-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. BENTLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-759-1519"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@dermcarealabama.com",
            "affiliation": "N",
            "endpointDescription": "info@dermcarealabama.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4960 Rice Mine Rd NE Ste 40",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354062671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.