Provider Demographics
NPI:1356493514
Name:BOBBY E. HILL, M.D., P.C.
Entity Type:Organization
Organization Name:BOBBY E. HILL, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-752-0442
Mailing Address - Street 1:1647 MCFARLAND BLVD N
Mailing Address - Street 2:SUITE #1-C
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2248
Mailing Address - Country:US
Mailing Address - Phone:205-752-0442
Mailing Address - Fax:205-349-5716
Practice Address - Street 1:1647 MCFARLAND BLVD N
Practice Address - Street 2:SUITE #1-C
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2248
Practice Address - Country:US
Practice Address - Phone:205-752-0442
Practice Address - Fax:205-349-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000006507Medicaid
AL51006507OtherBCBS PROVIDER NUMBER
AL000006507Medicaid
ALC72353Medicare UPIN