Provider Demographics
NPI:1932251188
Name:COSBY, ROBERT MILTON (M D)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MILTON
Last Name:COSBY
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3508 CHESHIRE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3100
Mailing Address - Country:US
Mailing Address - Phone:205-991-6054
Mailing Address - Fax:
Practice Address - Street 1:509 WILSON AVE
Practice Address - Street 2:
Practice Address - City:EUTAW
Practice Address - State:AL
Practice Address - Zip Code:35462-1064
Practice Address - Country:US
Practice Address - Phone:205-315-1085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.5955207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01471Medicaid
AL01471OtherBLUE CROSS BLUE SHIELD
AL01471Medicaid