Healthcare Provider Details

I. General information

NPI: 1134142987
Provider Name (Legal Business Name): ROBERT ALLEN SHEARER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 12/24/2024
Certification Date: 12/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 HILL ST
SPRINGFIELD TN
37172-2951
US

IV. Provider business mailing address

1000 URBAN CENTER DR STE 600
VESTAVIA AL
35242-2584
US

V. Phone/Fax

Practice location:
  • Phone: 615-800-8981
  • Fax: 615-800-8980
Mailing address:
  • Phone: 205-208-9312
  • Fax: 615-800-8980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number10243
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number10243
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: