Roosevelt Tinker III
Private Vehicle in Montgomery, AL. Individual provider (NPI-1).
NPI number1760169486
StatusActive
Last updated in NPPESJul 4, 2023
Details
- NPI
- 1760169486
- Entity type
- Individual (NPI-1)
- Name
- Mr. Roosevelt Tinker III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 4, 2023
- Certification date
- Jul 4, 2023
- Last updated
- Jul 4, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
Practice location
4758 Woodmere Blvd Ste FMontgomery, AL 36106-3076
Phone 334-267-5276
Mailing address
600 Boulevard South Sw Ste 104aHuntsville, AL 35802-2175
Phone 334-267-5276
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Private Vehicle providers in Montgomery · All 5,237 providers in Montgomery
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