MANN, JAMES CHADWICK (MD)

Provider Demographics

• NPI: 1902086549
• Name: MANN, JAMES CHADWICK (MD)
• Entity Type: Individual
• Prefix: DR
• First Name: JAMES
• Middle Name: CHADWICK
• Last Name: MANN
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 2006 FRANKLIN ST SE STE 200
• Mailing Address - City: HUNTSVILLE
• Mailing Address - State: AL
• Mailing Address - Zip Code: 35801-4537
• Mailing Address - Country: US
• Mailing Address - Phone: 256-539-0457
• Practice Address - Street 1: 2006 FRANKLIN ST SE
• Practice Address - Street 2: SUITE 200
• Practice Address - City: HUNTSVILLE
• Practice Address - State: AL
• Practice Address - Zip Code: 35801-4551
• Practice Address - Country: US
• Practice Address - Phone: 256-539-0457
• Is Sole Proprietor?: No
• Enumeration Date: 2007-11-12
• Last Update Date: 2023-03-09

Provider Licenses

State	License ID	Taxonomies
AL	MD.32458	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AL	148857	Medicaid
AL	149309	Medicaid
AL	149680	Medicaid
AL	227556	Medicaid
AL	247988	Medicaid
AL	511-36002	Other	BCBS
AL	512-30591	Other	BCBS
AL	890-43473	Other	BCBS
AL	159864	Medicaid
AL	220234	Medicaid
AL	227878	Medicaid
AL	237241	Medicaid
AL	247836	Medicaid
AL	511-36006	Other	BCBS
AL	148856	Medicaid
AL	149681	Medicaid
AL	227380	Medicaid
AL	227466	Medicaid
TN	4357853	Other	BCBS
AL	511-36003	Other	BCBS
	12569382	Other	CAQH
AL	149013	Medicaid
AL	150058	Medicaid
AL	227536	Medicaid
AL	248694	Medicaid
AL	890-51377	Other	BCBS
AL	152399	Medicaid
TN	1532457	Medicaid
AL	227457	Medicaid
AL	249623	Medicaid
AL	511-36005	Other	BCBS
AL	511-36008	Other	BCBS
AL	149139	Medicaid
AL	149675	Medicaid
AL	211895	Medicaid
AL	227288	Medicaid
AL	227533	Medicaid
AL	227552	Medicaid
AL	239431	Medicaid
AL	249622	Medicaid
AL	249756	Medicaid
AL	511-36009	Other	BCBS
AL	148855	Medicaid
AL	148858	Medicaid
AL	150205	Medicaid
AL	511-36010	Other	BCBS