Provider Demographics
NPI:1841390879
Name:CAIN, ROBERT CARSON (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CARSON
Last Name:CAIN
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 1:5381 1ST AVENUE, NORTH
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35212-2401
Mailing Address - Country:US
Mailing Address - Phone:205-592-2561
Mailing Address - Fax:205-595-7641
Practice Address - Street 1:5381 1ST AVENUE, NORTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35212-2401
Practice Address - Country:US
Practice Address - Phone:205-592-2561
Practice Address - Fax:205-595-7641
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL8238207R00000X
AL8238207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000007977Medicaid
AL51007977OtherBLUE CROSS
AL0410630OtherUNITED HEALTH
AL000007977Medicaid
AL0410630OtherUNITED HEALTH