Provider Demographics
NPI:1174663496
Name:HELLARD, ROBERT SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SCOTT
Last Name:HELLARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1606 CHURCH ST SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3402
Mailing Address - Country:US
Mailing Address - Phone:256-351-1444
Mailing Address - Fax:256-351-8897
Practice Address - Street 1:1606 CHURCH ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3402
Practice Address - Country:US
Practice Address - Phone:256-351-1444
Practice Address - Fax:256-351-8897
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN716582084P0800X
WI2065-3202084P0800X
AL215992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG08712Medicare UPIN