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Bobby E. Hill, M.D., P.C.

Details

Name: Bobby E. Hill, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 Mar 1994 (31 years ago)
Entity Number: 000-162-604
Register Number: 000162604
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 1647 MCFARLAND BLVD N STE #1-CTUSCALOOSA, AL 35406
Registered Office Street Address ZIP Code: 35406
Authorized Capital: $1,000
Paid Share Capital: ----

Activities PROFESSIONAL PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356493514 2007-01-17 2008-10-02 1647 MCFARLAND BLVD N, SUITE #1-C, TUSCALOOSA, AL, 354062248, US 1647 MCFARLAND BLVD N, SUITE #1-C, TUSCALOOSA, AL, 354062248, US

Contacts

Phone +1 205-752-0442
Fax 2053495716

Authorized person

Name BOBBY E HILL
Role PRESIDENT
Phone 2057520442

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 000006507
State AL
Issuer BCBS PROVIDER NUMBER
Number 51006507
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2022 631109728 2023-07-24 BOBBY E HILL M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing BOBBY E. HILL, M.D.
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2021 631109728 2022-10-04 BOBBY E HILL M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2022-10-04
Name of individual signing BOBBY E. HILL, M.D.
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2020 631109728 2021-10-14 BOBBY E HILL M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing BOBBY E. HILL, M.D.
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2019 631109728 2020-10-05 BOBBY E HILL M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2020-10-05
Name of individual signing BOBBY E. HILL, M.D.
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2018 631109728 2019-10-02 BOBBY E HILL M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing BOBBY E. HILL, M.D.
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2017 631109728 2018-10-15 BOBBY E HILL M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing BOBBY E. HILL, M.D.
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2016 631109728 2017-10-12 BOBBY E HILL M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing BOBBY E. HILL, M.D.
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2015 631109728 2016-09-29 BOBBY E HILL M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2016-09-29
Name of individual signing BOBBY E. HILL, M.D.
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2014 631109728 2015-10-09 BOBBY E HILL M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing BOBBY E. HILL, M.D.
BOBBY E HILL, MD, PC PROFIT SHARING PLAN 2013 631109728 2014-10-06 BOBBY E HILL M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 2057520442
Plan sponsor’s address 1647 MCFARLAND BLVD. N., SUITE 1-C, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2014-10-06
Name of individual signing BOBBY E. HILL, M.D.
Role Employer/plan sponsor
Date 2014-10-06
Name of individual signing BOBBY E. HILL

Agent

Name Role
HILL, BOBBY E SR MD Agent

Incorporator

Name Role
HILL, BOBBY E SR MD Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State