Unknown Individual – Internal Medicine Physician, NPI 1902849599
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
200, Beacon Parkway West, Birmingham, Jefferson County, Alabama, 35209, United States
SUITE 330
BIRMINGHAM, AL 352093102
Phone: (205) 715-5904
Fax: (205) 715-5928
Type: Mailing
Stephen J White Memorial Boulevard, Brecon, Talladega, Talladega County, Alabama, 36160, United States
TALLADEGA, AL 351602106
Phone: (256) 362-4000
Fax: (256) 362-4887
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35209)
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