Robert John Nicke, M.D., J.D., M.B.A.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

32022 Issued in NC

Practice address

1608 Inverness CLFS
Birmingham, AL 35242-3729

Phone

(205) 910-1095

NPI assigned

Mar 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Robert J. Nicke Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Juris Doctor, Master of Business Administration, 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.

• Decatur General Hospital

  dba The Healthcare Authority of Morgan County

  • Psychiatric Hospital Unit
  • Decatur, AL
  • NPI 1326288770
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1972965655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 INVERNESS CLFS",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423729",
            "telephone_number": "205-910-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 INVERNESS CLFS",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423729",
            "telephone_number": "205-910-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKE",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D., J.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "32022",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D30387",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME39499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "NICKE",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "M.D., J.D., M.B.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michele Holloway Nichols, MD
• Stephanie Nichols
• Jeffrey K Nicholson, MD
• Niesha Nicholson
• William Nicholson, MSN, CRNP
• William B Nickell, M,D.
• Keegan John Nicodemus, MD
• Yostina Marie Nicola, DMD
• Nicolas Brown, DMD General Dentistry, LLC
• John Victor Nicolini, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.