Provider Demographics
NPI:1528114568
Name:ROBERT EICHELBERGER, M.D., P.C.
Entity type:Organization
Organization Name:ROBERT EICHELBERGER, M.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:EICHELBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-991-1830
Mailing Address - Street 1:7500 HUGH DANIEL DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7148
Mailing Address - Country:US
Mailing Address - Phone:205-991-1830
Mailing Address - Fax:205-991-1186
Practice Address - Street 1:7500 HUGH DANIEL DR
Practice Address - Street 2:SUITE 150
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7148
Practice Address - Country:US
Practice Address - Phone:205-991-1830
Practice Address - Fax:205-991-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1023040409OtherNPI - BERGQUIST
AL1528114568OtherGROUP NPI
AL1306051164OtherJAMES SPANN, M.D. - NPI #
AL51116994OtherJAMES SPANN, M.D. - BCBS ID #
AL1427030642OtherNPI - EICHELBERGER
AL1124000344OtherNPI - SNOW
AL1023040409OtherNPI - BERGQUIST