Healthcare Provider Details

I. General information

NPI: 1982921748
Provider Name (Legal Business Name): ERIC EDWARD ROBERTS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 N MCKENZIE ST STE 201
FOLEY AL
36535-2282
US

IV. Provider business mailing address

1711 N MCKENZIE ST STE 201
FOLEY AL
36535-2282
US

V. Phone/Fax

Practice location:
  • Phone: 251-952-6597
  • Fax: 251-952-6620
Mailing address:
  • Phone: 251-949-3479
  • Fax: 251-949-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberDO1763
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDO.1763
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: