MEDICARE: ROBERT PITTMAN EICHELBERGER M.D.

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	2085R0202X	Diagnostic Radiology Physician	8933	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	51033928	OTHER	AL	BC GREYSTONE
4	4700001757	OTHER	GA	TRAVELERS RR M/C SHELBY
5	470000666	OTHER	GA	TRAVELERS RR M/C GREYSTON
6	470001761	OTHER	GA	TRAVELERS RR M/C 280
7	51511831	OTHER	AL	BC 280
8	P00206200	OTHER	GA	TRAVELERS RR M/C SYLACAUG
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	51097312	OTHER	AL	BC MONTCLAIR
12	51503624	OTHER	AL	BC SHELBY
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	470000833	OTHER	GA	TRAVERLERS RR M/C MONTCLA
15	51000186	OTHER	AL	BC SYLACAUGA

General Provider Information

NPI Number	:	1427030642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT PITTMAN EICHELBERGER M.D.

Provider Business Mailing Address
First Line	:	7500 HUGH DANIEL DR
Second Line	:	ATTN: JENNIFER BYRD
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-7142
Country	:	US
Telephone Number	:	205-995-9899
Fax Number	:	205-995-1255

Provider Business Practice Location Address
First Line	:	7500 HUGH DANIEL DR
Second Line	:	SUITE 150
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-7148
Country	:	US
Telephone Number	:	205-995-4900
Fax Number	:	205-995-0203

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	02/05/2013

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