Charles Theodore Reveley Jr, MD - Psychiatry & Neurology in Mountain Brk, AL

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Charles Theodore Reveley Jr, MD is a Psychiatry & Neurology - Psychiatry physician based in Mountain Brk, Alabama. Charles Theodore Reveley Jr is licensed to practice in Alabama (license number MD.28076) and his current practice location is 400 Office Park Dr, Suite 110, Mountain Brk, Alabama. He can be reached at his office (for appointments etc.) via phone at (205) 870-8415.

NPI number for Charles Theodore Reveley Jr is 1245265982 and his current mailing address is 400 Office Park Dr, Suite 110, Birmingham, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245265982.

Contact Information

Charles Theodore Reveley Jr, MD
400 Office Park Dr, Suite 110,
Mountain Brk, AL 35223-3408
(205) 870-8415
Not Available

Map and Direction




Physician's Profile

Full NameCharles Theodore Reveley Jr
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location400 Office Park Dr, Mountain Brk, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245265982
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 04/07/2012

Medical Identifiers

Medical identifiers for Charles Theodore Reveley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245265982NPI-NPPES
051531152OtherALBC FEDERAL EHBP
515-92203OtherALBLUECROSS BLUESHIELD
051531151OtherALBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD.28076 (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Theodore Reveley Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Theodore Reveley Jr, MD
400 Office Park Dr, Suite 110,
Birmingham, AL 35223-3408

Ph: (205) 870-8415		Charles Theodore Reveley Jr, MD
400 Office Park Dr, Suite 110,
Mountain Brk, AL 35223-3408

Ph: (205) 870-8415

Reviews and Comments


Psychiatry & Neurology Doctors in Mountain Brk, AL


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