Individual
ROBERT B BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S, OHB 251, BIRMINGHAM, AL 35249-7013
(205) 975-7387
(205) 975-4662
Mailing address
619 19TH ST S, OHB 251, BIRMINGHAM, AL 35249-7013
(205) 975-7387
(205) 975-4662
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.24818
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051556388
—
AL
05
—
109846
—
AL
01
—
1558342824
TRICARE SOUTH
AL
01
—
515-530057
BCBS
AL
Enumeration date
11/14/2005
Last updated
01/07/2016
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