| Dr Roy Bruce Hall, MD | |
|
1500 Ross Clark Cir, Dothan, AL 36301-4754 | |
| (334) 793-2663 | |
| (334) 836-2247 |
| Full Name | Dr Roy Bruce Hall |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1500 Ross Clark Cir, Dothan, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881695427 | NPI | - | NPPES |
| 121531 | Medicaid | AL | |
| 009956265 | Medicaid | AL | |
| 000303234B | Medicaid | GA | |
| 000303234D | Medicaid | GA | |
| 511-08271 | Other | AL | BCBS - HEALTHWEST |
| 515-21692 | Other | AL | BCBS OF AL- 1500 ROSS CLA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 9755 (Alabama) | Primary |
| Entity Name | S.b.j.s. Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134106065 PECOS PAC ID: 8527043421 Enrollment ID: O20040623001355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roy Bruce Hall, MD Po Box 729, Dothan, AL 36302-0729 Ph: (334) 793-2663 | Dr Roy Bruce Hall, MD 1500 Ross Clark Cir, Dothan, AL 36301-4754 Ph: (334) 793-2663 |
Dr. Timothy M. Haley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Dr. Judson B. Moore, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Jeremiah J Maddox, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 | |
Dr. Orvis Hugh Chitwood Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Dr. John H. Haley Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Dr. J. Paul Maddox, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Dr. Patrick Daniel Guin, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 |