Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Revere Hallenbeck, MD

Individual provider Pediatrics Physician · NPI 1275989725

Michael Revere Hallenbeck, MD is a Pediatrics Physician in Boaz, Alabama. Licensed in Alabama. Registered with an NPI since 2016.

Licensed in
AL
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2505 US Highway 431
Boaz, AL 35957-5908
Phone: (256) 593-8310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 44718 (AL)

Record details

NPI number1275989725
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2016
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023

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