Provider Demographics
NPI:1124077359
Name:MASON, ROBERT WH (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:WH
Last Name:MASON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:341 COOL SPRINGS BLVD.
Mailing Address - Street 2:STE. 400
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:423-508-7337
Mailing Address - Fax:423-508-7338
Practice Address - Street 1:28 WHITE BRIDGE PIKE
Practice Address - Street 2:STE. 208
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1467
Practice Address - Country:US
Practice Address - Phone:615-327-2001
Practice Address - Fax:615-234-2015
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2023-07-27
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Provider Licenses
StateLicense IDTaxonomies
AL28562207W00000X
FLME118634207W00000X
LA304969207W00000X
TN65583207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2443399Medicaid
LA304969OtherLA MEDICAL LICENSE
AL515-47849OtherBC 2010 BROOKWOOD MEDICAL CENTER DR, BIRMINGHAM
AL515-46661OtherBC 250 STATE FARM PKWY, BIRMINGHAM
AL515-46670OtherBC 418 MARTLING RD, ALBERTVILLE
AL515-46668OtherBC 715 SNOW STREET, OXFORD
AL515-46665OtherBC 1979 ALABAMA HWY 157, CULLMAN
AL515-46666OtherBC 205 OAKHILL RD, SUITE A, JASPER
AL1124077359Medicaid
AL515-46664OtherBC 2015 RAINBOW DRIVE, GADSDEN
LA567984ZLP5Medicare PIN
AL1124077359Medicare PIN
AL515-46661OtherBC 250 STATE FARM PKWY, BIRMINGHAM