Healthcare Provider Details

I. General information

NPI: 1497935837
Provider Name (Legal Business Name): MATTHEW D DOBBS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 ALTAMONT CT
AUBURN AL
36830-2184
US

IV. Provider business mailing address

1825 ALTAMONT CT
AUBURN AL
36830-2184
US

V. Phone/Fax

Practice location:
  • Phone: 615-975-8470
  • Fax:
Mailing address:
  • Phone: 615-975-8470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberA119999
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number46579
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA119999
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC1441
License Number StateKY
# 5
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD33249
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: