Provider Demographics
NPI:1427030642
Name:EICHELBERGER, ROBERT PITTMAN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:PITTMAN
Last Name:EICHELBERGER
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 1:7500 HUGH DANIEL DR
Mailing Address - Street 2:ATTN: JENNIFER BYRD
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7142
Mailing Address - Country:US
Mailing Address - Phone:205-995-9899
Mailing Address - Fax:205-995-1255
Practice Address - Street 1:7500 HUGH DANIEL DR
Practice Address - Street 2:SUITE 150
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7148
Practice Address - Country:US
Practice Address - Phone:205-995-4900
Practice Address - Fax:205-995-0203
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL89332085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009933071Medicaid
AL009951890Medicaid
AL51033928OtherBC GREYSTONE
GA4700001757OtherTRAVELERS RR M/C SHELBY
GA470000666OtherTRAVELERS RR M/C GREYSTON
GA470001761OtherTRAVELERS RR M/C 280
AL51511831OtherBC 280
GAP00206200OtherTRAVELERS RR M/C SYLACAUG
AL000033928Medicaid
AL009973510Medicaid
AL51097312OtherBC MONTCLAIR
AL51503624OtherBC SHELBY
AL009908805Medicaid
GA470000833OtherTRAVERLERS RR M/C MONTCLA
AL51000186OtherBC SYLACAUGA
AL51033928OtherBC GREYSTONE
AL009951890Medicaid
AL009908805Medicaid