Provider Demographics
NPI:1447298708
Name:FLEMING, ROBERT L II (PT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:FLEMING
Suffix:II
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 DOWNTOWNER LOOP W
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5503
Mailing Address - Country:US
Mailing Address - Phone:251-341-1418
Mailing Address - Fax:251-341-3599
Practice Address - Street 1:709 DOWNTOWNER LOOP W
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5503
Practice Address - Country:US
Practice Address - Phone:251-341-1418
Practice Address - Fax:251-341-3599
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH669174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-20301OtherBCBS
ALJ485OtherMEDICARE GROUP #
ALJ485OtherMEDICARE GROUP #
ALS62353Medicare UPIN