Jeffrey K Nicholson, MD | |
50 Medical Park Dr E, Birmingham, AL 35235-3401 | |
(205) 838-3435 | |
Not Available |
Full Name | Jeffrey K Nicholson |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 50 Medical Park Dr E, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659376721 | NPI | - | NPPES |
009938631 | Medicaid | AL | |
051502934 | Medicaid | AL | |
051511408 | Other | AL | BLUE CROSS |
051539885 | Other | AL | BLUE CROSS |
051550140 | Other | AL | BLUE CROSS |
009984595 | Medicaid | AL | |
051525169 | Other | AL | BLUE CROSS |
051550138 | Medicaid | AL | |
051512694 | Other | AL | BLUE CROSS |
051550138 | Other | AL | BLUE CROSS |
051502934 | Other | AL | BLUE CROSS |
051512493 | Other | AL | BLUE CROSS |
051512495 | Other | AL | BLUE CROSS |
051550139 | Other | AL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 15958 (Alabama) | Primary |
Entity Name | Birmingham Radiological Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376594192 PECOS PAC ID: 8022922756 Enrollment ID: O20031118000002 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey K Nicholson, MD 2000a Southbridge Pkwy, Ste 300, Birmingham, AL 35209-7718 Ph: (205) 871-4274 | Jeffrey K Nicholson, MD 50 Medical Park Dr E, Birmingham, AL 35235-3401 Ph: (205) 838-3435 |
Dr. Garrett Colby, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Jt N342, Birmingham, AL 35249 Phone: 205-934-3108 Fax: 205-975-4413 | |
Drexell H Boggs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 6th Ave S, Rm: 2253, Birmingham, AL 35233 Phone: 205-975-9399 Fax: 205-975-5184 | |
James Walker, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Joseph Smith, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Michelle M Mcnamara, MD Radiology Medicare: Medicare Enrolled Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-4011 | |
Sharda Mehar Bajaj, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1526 5th Ave S, Birmingham, AL 35233 Phone: 205-279-2860 | |
Gina Elizabeth Rebesco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 625 19th St S, Birmingham, AL 35233 Phone: 205-975-0222 |