DR. ROBERT BRIAN BETTENCOURT (MD) – Family Medicine Physician, NPI 1003086521

DR. ROBERT BRIAN BETTENCOURT (MD) is a healthcare provider. based in Mobile, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. NONE (AL). The NPI Number for DR. ROBERT BRIAN BETTENCOURT (MD) is 1003086521

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT BRIAN BETTENCOURT (MD)
NPI
1003086521
Phone
(251) 470-5842
Address
P O BOX 40480
Enumeration Date
11 March 2008
Last Update Date
3 June 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
5032145200
Graduation Year
2003 (23 years ago)
PAC ID
4082749197
Group Practice PAC ID
1052219953
Professional Enrollment ID
I20121227000260
Address ID
OR972255933PO11782RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:18State licenses:3Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

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Provider Addresses for DR. ROBERT BRIAN BETTENCOURT (MD)

  • P O BOX 40480

    MOBILE, AL 366400480

    Phone: (251) 470-5842

    Fax: (251) 434-3837

    Type: Mailing

  • 11782 SW BARNES RD STE 300

    PORTLAND, OR 972255933

    Phone: (503) 214-5200

    Fax: (503) 906-6613

    Type: Mailing

  • University of South Alabama Medical Center Springhill Avenue Campus, 1504, Springhill Avenue, Lyons Park, Mobile, Mobile County, Alabama, 36604, United States

    STE 1800

    MOBILE, AL 366043207

    Phone: (251) 434-3475

    Fax: (251) 434-3837

    Type: Location

  • 14795 SW Murray Scholls Dr Ste 109

    Beaverton, OR 970079230

    Phone: (503) 906-4301

    Fax: (503) 906-6613

    Type: Location

  • 1504 Springhill Ave

    Ste 1800

    Mobile, AL 366043207

    Phone: (251) 434-3475

    Fax: (251) 434-3837

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121227000260IFamily PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,926241$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance208175$0
20610Aspiration and/or injection of fluid from large joint16687$0
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose13845$0
73030X-ray of shoulder, minimum of 2 views6345$0
View full utilization report →

Insurance plans in this area (ZIP 36640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052219953View full group profile
NameSpecialtyState
Physician AssistantCA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR
Physician AssistantOR
Occupational Therapist In Private PracticeOR
Physician AssistantMA
Physical Medicine And RehabilitationOR
Orthopedic SurgeryOR
Hand Surgery, Orthopedic SurgeryOR

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ROBERT BRIAN BETTENCOURT (MD)?
NPI 1003086521 is assigned to DR. ROBERT BRIAN BETTENCOURT (MD) under the national enumeration system.
Is DR. ROBERT BRIAN BETTENCOURT (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. ROBERT BRIAN BETTENCOURT (MD)'s specialty in plain language?
Clinically, the directory lists DR. ROBERT BRIAN BETTENCOURT (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ROBERT BRIAN BETTENCOURT (MD)?
We surface Mobile, Alabama for DR. ROBERT BRIAN BETTENCOURT (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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