Provider Demographics
NPI:1790803690
Name:ROBERT WM BARTEL MDPC
Entity Type:Organization
Organization Name:ROBERT WM BARTEL MDPC
Other - Org Name:BARTEL FAMILY MEDICINE CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN AND MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:KAHANEC
Authorized Official - Last Name:BARTEL
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:256-825-8211
Mailing Address - Street 1:139 E LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:DADEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36853-1322
Mailing Address - Country:US
Mailing Address - Phone:256-825-8211
Mailing Address - Fax:256-825-0999
Practice Address - Street 1:139 E LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:DADEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36853-1322
Practice Address - Country:US
Practice Address - Phone:256-825-8211
Practice Address - Fax:256-825-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL13217207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG527Medicare ID - Type UnspecifiedPROVIDER#