Individual
ROBERT BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4960 RICE MINE RD NE STE 40, TUSCALOOSA, AL 35406-2671
(205) 759-1519
(205) 750-8612
Mailing address
4960 RICE MINE RD NE STE 40, TUSCALOOSA, AL 35406-2671
(205) 759-1519
(205) 750-8612
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
00005543
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051000404
BCBS
AL
01
—
102G739427
MEDICARE
AL
05
—
198440
—
AL
Enumeration date
06/09/2006
Last updated
11/09/2023
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