MEDICARE: DR. JONATHAN T ROBINSON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	1847	AL
2	111N00000X	Chiropractor	1847	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51533586	OTHER	AL	BLUE CROSS BLUE SHIELD
2	51533585	OTHER	AL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1013013143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN T ROBINSON DC

Provider Business Mailing Address
First Line	:	2010 S POINT PARK CIR
Second Line	:	APT 150
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5479
Country	:	US
Telephone Number	:	256-461-7775
Fax Number	:	256-461-7756

Provider Business Practice Location Address
First Line	:	12205 COUNTY LINE RD
Second Line	:	SUITE D
City	:	MADISON
State	:	AL
Zip	:	35758-7719
Country	:	US
Telephone Number	:	256-461-7775
Fax Number	:	256-461-7756

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	05/11/2019

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