Individual provider Active NPI

Robert P. Heuermann, MD

  • Surgery Physician
  • Talladega, AL
National Provider Identifier
1871531731
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26018 Issued in AL
Practice address
109 Coosa St E
Suite B
Talladega, AL 35160-2154
Phone
(256) 761-0921
Fax
(256) 761-0947
NPI assigned
Jun 3, 2006
Last updated
Sep 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 26018 AL Primary

Addresses

Primary practice location

109 Coosa St E
Suite B
Talladega, AL 35160-2154

Mailing address

109 Coosa St E
Suite B
Talladega, AL 35160-2154
Phone (256) 761-0921

Other identifiers 2

IdentifierTypeStateIssuer
051557577MedicaidAL
510-03653OtherALBCBS

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
I20040730000535 AL Practitioner - General Surgery 6800795428 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26018ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince May 2, 2023 Accepting new patients
Centre RHC Corp Past Accepting new patients
Putnam General Hospital Authority Past Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: rheuermann37609@baptisthealthaldirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1871531731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 COOSA ST E",
            "address_2": "SUITE B",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602154",
            "telephone_number": "256-761-0921",
            "fax_number": "256-761-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 COOSA ST E",
            "address_2": "SUITE B",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602154",
            "telephone_number": "256-761-0921",
            "fax_number": "256-761-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUERMANN",
        "first_name": "ROBERT",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "26018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051557577",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-03653",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

Verify at the official NPI Registry.