Provider Demographics
NPI:1023082450
Name:DOEKEL, ROBERT CARL JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CARL
Last Name:DOEKEL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:790 MONTCLAIR RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1966
Mailing Address - Country:US
Mailing Address - Phone:205-599-1020
Mailing Address - Fax:205-599-1029
Practice Address - Street 1:790 MONTCLAIR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1966
Practice Address - Country:US
Practice Address - Phone:205-599-1020
Practice Address - Fax:205-599-1029
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00005953207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL290004317OtherPALMETTO GBA-RAILRAOD MCR
AL51084863OtherBCBS
AL000084863Medicaid
AL000084863Medicaid
AL290004317OtherPALMETTO GBA-RAILRAOD MCR