Robert Daniel Sellers IV

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35311 Issued in AL

Practice address

806 Saint Vincents Dr Ste 615
Birmingham, AL 35205-1616

Phone

(205) 314-4050

NPI assigned

Apr 13, 2015

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC

  dba UAHSF Department of Pediatrics

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1356377576
  NPD
• Birmingham Pediatric Assoc

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1174611081
  NPD (past)

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1891181178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR STE 615",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR STE 615",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051616",
            "telephone_number": "205-314-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "35311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF MEDICAL EXAMINERS",
            "identifier": "35311",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fouress Snow Sellers, LICSW
• Heather Sellers, M.S. PT
• James Wayne Sellers Jr., LICSW
• Jennifer Sellers
• Leslie Nichole Sellers, CRNA
• Samantha Ann Sellers
• Samuel Gilbert Sellers, PA-C
• Weston Ellis Selman
• Deborah A Sema, D.M.D, M.S.
• Leo Semes, O.D.

• Pediatrics Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.