Individual
JEFFREY SCOTT ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 PROVIDENCE PARK, BIRMINGHAM, AL 35242-4680
(205) 982-7220
(205) 982-7228
Mailing address
2001 PROVIDENCE PARK, BIRMINGHAM, AL 35242-4680
(205) 982-7220
(205) 982-7228
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
18109
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240004512
MEDICARE RAILROAD
AL
01
—
631164786
TAX ID
AL
Enumeration date
01/05/2006
Last updated
02/17/2026
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