Healthcare Provider Details

I. General information

NPI: 1891770855
Provider Name (Legal Business Name): ROBERT WOOD NESBITT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MONTGOMERY HWY STE 200
VESTAVIA HILLS AL
35216-1896
US

IV. Provider business mailing address

PO BOX 530604
BIRMINGHAM AL
35253-0604
US

V. Phone/Fax

Practice location:
  • Phone: 205-723-0088
  • Fax: 205-406-7222
Mailing address:
  • Phone: 205-879-8294
  • Fax: 205-879-8259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number12932
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number12932
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: