Pendley, Robert A

Pendley, Robert A is an individual health care provider with primary practice located at 460 Lanier Rd Ste 203, Madison AL 35758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pendley, Robert A can be contacted via phone (256) 533-6488.

Contact Information

Primary practice address
460 Lanier Rd Ste 203 Madison AL 35758
Fax: (256) 533-6495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X TP928 Kentucky
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 00008981 Alabama

Profile Details

NPI number 1750370029
LBN Legal business name Pendley, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 28th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750370029 NPPES
Alabama MEDICAID 009972255

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