Robert A M Revel, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

D0116 Issued in AL

Practice address

401 Medical Park Dr
Atmore, AL 36502-3006

Phone

(904) 805-1300

Fax

(904) 805-1302

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Opp, AL
  • NPI 1356391353
  NPD (past)
• Pineleaf Emergency Physicians LLC

  • Emergency Medicine Physician
  • Brewton, AL
  • NPI 1144279993
  NPD (past)
• Gulf Emergency Specialists PA

  • Emergency Medicine Physician
  • Panama City, FL
  • NPI 1770521759
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1811936552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863535",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863535",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023006",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVEL",
        "first_name": "ROBERT",
        "middle_name": "A M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "D0116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51555538",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ponder, LMSW
• Pulmonary Associates of Mobile, PC
• Gordon Quinn, RPH
• Steven Ramsay, MD
• Renal Treatment Centers-Southeast, LP.
• Yolanda Riley
• Riteaid
• Terri Rodriguez, RN
• Haley C Rolin, BSN, RN, CDCES, CCM
• Frances Delaine Salter, MD

• Emergency Medicine Physician in Atmore, AL
• Providers in Atmore, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.