DR. ROBERT BETTENCOURT (NPI# 1003086521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003086521 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BETTENCOURT |
| Credential | M.D. |
| Practice Address |
1504 Springhill Ave Ste 1800 Mobile AL 36604-3207 |
| Mailing Address |
P O Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514343475 |
| Practice Fax Number | 2514343837 |
| Mailing Telephone | 2514705842 |
| Mailing Fax Number | 2514343837 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 29467 | AL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | NONE | AL | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
29467 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1504 SPRINGHILL AVE STE 1800 |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191113 | Oliver Laurence Ezell | Physician Assistant | 1504 Springhill Ave, Ste 1365, Mobile, AL 36604-3207 | 2005-06-01 |
| 1245511237 | Murali Aala Basavraja Reddy | Student in an Organized Health Care Education/Training Program | 1504 Springhill Ave, Mobile, AL 36604-3207 | 2011-09-02 |
| 1619265840 | Mohammed Ali Almannai | Pediatrics | 1504 Springhill Ave, Children's Medical Center, Mobile, AL 36604-3207 | 2011-07-21 |
| 1194038067 | Pon Trairatvorakul | Student in an Organized Health Care Education/Training Program | 1504 Springhill Ave, Children's Medical Center, Mobile, AL 36604-3207 | 2010-07-21 |
| 1174757314 | Casey Reed Wylie | Student in an Organized Health Care Education/Training Program | 1504 Springhill Ave, Room 3414, Mobile, AL 36604-3207 | 2009-05-02 |
| 1376788521 | Mark Daniel Minton | Physician Assistant | 1504 Springhill Ave, Mobile, AL 36604-3207 | 2008-12-02 |
| 1134372006 | Kelly Diantha Estle | Social Worker | 1504 Springhill Ave, Mobile, AL 36604-3207 | 2008-10-23 |
| 1710139001 | Susan Miller Guillory | Social Worker | 1504 Springhill Ave, Mobile, AL 36604-3207 | 2008-10-17 |
| 1003015678 | Jennifer Shana Diamond Currie | Pediatrics | 1504 Springhill Ave, Suite 1600, Mobile, AL 36604-3207 | 2007-07-13 |
| 1104952258 | Suzanne Dasher Stuckey | Pediatrics | 1504 Springhill Ave, Suite 1600, Mobile, AL 36604-3207 | 2007-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053794354 | Brookwood Primary Care- Grand River, L.L.C. | Family Medicine | 1115 Payton Way., Suite 111, Leeds, AL 35094 | 2015-07-06 |
| 1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
| 1558536474 | Jeffery Garrard, M.d., P.C. | Family Medicine | 4205 Balmoral Dr Sw Ste 200, Huntsville, AL 35801-7421 | 2008-04-23 |
| 1699988048 | Brian A Cost | Family Medicine | 4205 Balmoral Dr Suite 200, Huntsville, AL 35801 | 2007-05-08 |
| 1295830891 | Total Sports Care, P.C. | Family Medicine | 4205 Balmoral Drive, Suite 200, Huntsville, AL 35801 | 2006-09-14 |
| 1548717119 | Jacksonville State University | Family Medicine | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2016-09-01 |
| 1285081463 | William Hunter Garrett | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 | 2016-05-18 |
| 1912386848 | Leonardo Taarea | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205 | 2015-05-26 |
| 1497133458 | Monte Ketchum | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205 | 2015-05-11 |
| 1114290525 | Joseph Lee Edison | Family Medicine | 349 S Donahue Dr, Auburn, AL 36849-0001 | 2012-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.