MEDICARE: RENAL ASSOCIATES OF MONTGOMERY, P.C.

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	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1881659423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENAL ASSOCIATES OF MONTGOMERY, P.C.

Provider Business Mailing Address
First Line	:	4760 WOODMERE BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3065
Country	:	US
Telephone Number	:	334-288-0814
Fax Number	:	334-288-3417

Provider Business Practice Location Address
First Line	:	4760 WOODMERE BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3065
Country	:	US
Telephone Number	:	334-288-0814
Fax Number	:	334-288-3417

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. ROBERT BOYD HOIT JR.
Credential	:	M.D.
Telephone Number	:	334-288-0814

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	03/16/2026

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1285638247 — ROBERT BOYD HOIT JR. MD
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1588745129 — DR. E. GRAY PENTON DMD
Practice Location Address:

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Practice Location Address:

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