DR. PHILLIP KELLEY BOBO MD
NPI 1184652596
General Practice in Tuscaloosa, AL

Active since June 28, 2006Opted out of Medicare · through Mar 17, 2028
32 15TH ST, TUSCALOOSA, AL 35401(205) 345-2326(205) 345-0708 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Phillip Kelley Bobo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP KELLEY BOBO MD (NPI 1184652596) is an individual general practice provider in Tuscaloosa, Alabama, licensed in Alabama (00006261) and active in the NPI registry since June 2006. He has opted out of Medicare through March 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184652596
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PHILLIP KELLEY BOBOCredential: MD
Location Address32 15TH STTuscaloosa, AL 35401-3661
Mailing Address32 15th StTuscaloosa, AL 35401-3661 · (205) 345-2326 · Fax (205) 345-0708
Fax(205) 345-0708
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1184652596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in AL · 00006261
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License 00006261 (AL)
32 15TH ST, Tuscaloosa, AL 35401

Other Identifiers 1

Other0133467National Council For Pres

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Phillip Kelley Bobo Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2016 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2016
Opt-Out In Effect ThroughMarch 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Bobo's NPI number?

The NPI number for Phillip Bobo is 1184652596. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Phillip Bobo located?

Phillip Bobo practices at 32 15th St, Tuscaloosa, AL 35401. The listed phone number is (205) 345-2326.

What is Phillip Bobo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Phillip Bobo enrolled in Medicare?

No. Phillip Bobo has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Phillip Bobo accept?

Health plans from Blue Cross and Blue Shield of Alabama list Phillip Bobo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phillip Bobo was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.