Dr Robert Davis Stibolt Jr, MD is a
Student In An Organized Health Care Education/training Program physician based in Birmingham, Alabama. Dr Robert Davis Stibolt Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is 619 19th St S # Jtn331, Birmingham, Alabama. He can be reached at his office (for appointments etc.) via phone at
(205) 934-3166.
NPI number for Dr Robert Davis Stibolt Jr is 1780247940 and his current mailing address is 619 19th St S # Jtn331, Birmingham, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780247940.
Physician's Profile
| Full Name | Dr Robert Davis Stibolt Jr |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 619 19th St S # Jtn331, Birmingham, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780247940
- Provider Enumeration Date: 04/15/2019
- Last Update Date: 07/15/2024
Medical Identifiers
Medical identifiers for Dr Robert Davis Stibolt Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780247940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 41857 (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Davis Stibolt Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert Davis Stibolt Jr, MD
619 19th St S # Jtn331,
Birmingham, AL 35249-1900
Ph: (205) 934-3166 | Dr Robert Davis Stibolt Jr, MD
619 19th St S # Jtn331,
Birmingham, AL 35249-3326
Ph: (205) 934-3166 |
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