DR. PHILLIP KELLEY BOBO (NPI# 1184652596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184652596 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP KELLEY BOBO |
| Credential | MD |
| Practice Address |
32 15th St Tuscaloosa AL 35401-3661 |
| Practice Telephone | 2053452326 |
| Practice Fax Number | 2053450708 |
| Mailing Telephone | 2053452326 |
| Mailing Fax Number | 2053450708 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | 00006261 | AL | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | 00006261 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL COUNCIL FOR PRES | 0133467 | 01 |
| Street Address |
32 15TH ST |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1992717110 | John O. Newcomb | Emergency Medicine | 1251 Mcfarland Blvd Ne, Tuscaloosa, AL 35406-2205 | 2006-08-13 |
| 1154389070 | Marc Quentin Sonnier Sr. | Emergency Medicine | 7911 Commodore Dr Ne, Tuscaloosa, AL 35406-1215 | 2006-05-02 |
| 1619463163 | Relias Emergency Medicine Specialists of Regional, LLC | Emergency Medicine | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-07-09 |
| 1992188890 | Nathan Hadley | Emergency Medicine | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2015-07-09 |
| 1982015954 | Cameron Scott Sherrill | Emergency Medicine | 809 University Blvd E, Tuscaloosa, AL 35401 | 2014-05-13 |
| 1083848808 | Nicholas Machael Vetrano | Emergency Medicine | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2009-05-07 |
| 1417118779 | Carson Bennett Penkava | Emergency Medicine | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2008-06-19 |
| 1396949020 | Cristi Nicole Vaughn | Emergency Medicine | 809 University Blvd E, Dch Emergency Department, Tuscaloosa, AL 35401-2029 | 2007-06-14 |
| 1407930621 | Malcolm Nelson | Emergency Medicine | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2006-10-24 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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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.