Healthcare Provider Details

I. General information

NPI: 1396766242
Provider Name (Legal Business Name): ROBERT E ENGLES M.D., FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 E SOUTH BLVD STE 503
MONTGOMERY AL
36116-2004
US

IV. Provider business mailing address

2055 E SOUTH BLVD STE 503
MONTGOMERY AL
36116-2004
US

V. Phone/Fax

Practice location:
  • Phone: 334-284-6500
  • Fax: 334-284-6202
Mailing address:
  • Phone: 334-284-6500
  • Fax: 334-284-6202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number16115
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number16115
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: