Provider Demographics
NPI:1285652511
Name:HUNT, ROBERT EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:EDWARD
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 GALLATIN STREET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4414
Mailing Address - Country:US
Mailing Address - Phone:256-551-6510
Mailing Address - Fax:256-551-6507
Practice Address - Street 1:720 GALLATIN STREET
Practice Address - Street 2:SUITE 500
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4414
Practice Address - Country:US
Practice Address - Phone:256-551-6510
Practice Address - Fax:256-551-6507
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12337207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000015065Medicaid
AL528600320Medicaid
AL51033732OtherBC
AL528600320Medicaid
AL000015065Medicaid