Individual
ROBERT DESHA HINES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 MONTCLAIR RD, SUITE 317, BIRMINGHAM, AL 35213-1920
(205) 592-5135
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD.30751
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148841
—
AL
05
—
149973
—
AL
05
—
149983
—
AL
05
—
150147
—
AL
01
—
511-35200
BLUE CROSS
AL
01
—
511-35201
BLUE CROSS
AL
01
—
511-35202
BLUE CROSS
AL
01
—
511-35204
BLUE CROSS
AL
Enumeration date
07/22/2008
Last updated
05/20/2025
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