Individual
ROBERT R RECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
(205) 380-9459
Mailing address
109 HERITAGE CIR, MOUNTAIN BRK, AL 35213-2525
(205) 380-9455
(205) 380-9455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25554
AL
207Q00000X
Family Medicine Physician
25554
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051532872
BCBS PROVIDER NUMBER
AL
05
—
051532872
—
AL
05
—
051557270
—
AL
01
—
515533869
BCBS
—
Enumeration date
05/05/2006
Last updated
04/06/2011
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