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Organization
BIRMINGHAM PODIATRY PC
Active
Organization
BIRMINGHAM PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L ROBERSON JR. DPM (OWNER)
(205) 324-8511
Entity
Organization
Contact information
Practice address
805 ST. VINCENT'S DRIVE, SUITE 420, BIRMINGHAM, AL 35205-2704
(205) 324-8511
(205) 324-0319
Mailing address
805 ST. VINCENT'S DRIVE, SUITE 420, BIRMINGHAM, AL 35205
(205) 324-8511
(205) 324-0319
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000070338
—
AL
05
—
000070353
—
AL
05
—
000070942
—
AL
01
—
051070338
BLUE CROSS
—
01
—
051070353
BLUE CROSS
—
01
—
051070942
BLUE CROSS
—
01
—
051514505
BLUE CROSS
—
01
—
051598947
BLUE CROSS
AL
05
—
1174562755
—
AL
05
—
890009900
—
AL
Enumeration date
02/12/2007
Last updated
03/23/2026
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