MEDICARE: DR. ROBERT CARL DOEKEL JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician	00005953	AL
2	207RP1001X	Pulmonary Disease Physician	00005953	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	290004317	OTHER	AL	PALMETTO GBA-RAILRAOD MCR
2	51084863	OTHER	AL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023082450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT CARL DOEKEL JR. M.D.

Provider Business Mailing Address
First Line	:	790 MONTCLAIR RD
Second Line	:	SUITE 200
City	:	BIRMINGHAM
State	:	AL
Zip	:	35213-1966
Country	:	US
Telephone Number	:	205-599-1020
Fax Number	:	205-599-1029

Provider Business Practice Location Address
First Line	:	790 MONTCLAIR RD
Second Line	:	SUITE 200
City	:	BIRMINGHAM
State	:	AL
Zip	:	35213-1966
Country	:	US
Telephone Number	:	205-599-1020
Fax Number	:	205-599-1029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	02/20/2012

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Directions to “ DR. ROBERT CARL DOEKEL JR. M.D.” Practice Location

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