Provider Demographics
| NPI: | 1902917339 |
|---|---|
| Name: | JUDGE, DAVID ALLAN (MD) |
| Entity Type: | Individual |
| Prefix: | DR |
| First Name: | DAVID |
| Middle Name: | ALLAN |
| Last Name: | JUDGE |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 200 WILDWOOD PKWY STE 100B |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BIRMINGHAM |
| Mailing Address - State: | AL |
| Mailing Address - Zip Code: | 35209-7300 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 205-943-4600 |
| Mailing Address - Fax: | 205-943-4688 |
| Practice Address - Street 1: | 2015 RAINBOW DR |
| Practice Address - Street 2: | |
| Practice Address - City: | GADSDEN |
| Practice Address - State: | AL |
| Practice Address - Zip Code: | 35901-5551 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 256-547-2025 |
| Practice Address - Fax: | 256-547-2019 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-08-31 |
| Last Update Date: | 2024-03-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| AL | 00026944 | 207W00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| AL | 515-31473 | Other | BC-2015 RAINBOW DRIVE, GADSDEN |
| AL | F60056 | Other | HEALTHSPRING |
| AL | 510-09948 | Other | BC 1150 EAGLETREE LANE SE |
| AL | 515-47844 | Other | BC 1720 UNIVERSITY BLVD, BIRMINGHAM -HOSPITAL |
| AL | 510-39825 | Other | BC 314 SOUTH 5TH STREET, GADSDEN |
| AL | P00329571 | Other | RR MEDICARE PGBA |
| AL | 510-09943 | Other | BC 729 BATTLE ST EAST, TALLADEGA |
| AL | 515-47842 | Other | BC 1007 GOODYEAR AVE, GADSDEN -HOSPITAL |
| AL | 515-47843 | Other | BC 1701 PELHAM ROAD SOUTH, JACKSONVILLE |
| AL | 009935522 | Medicaid | |
| AL | 515-47847 | Other | BC 301 EAST 18TH ST, ANNISTON -HOSPITAL |
| AL | 515-47846 | Other | BC 460 LANIER RD, MADISON |
| AL | 510-10251 | Other | BC 425 E 10TH STREET, SUITE C, ANNISTON |
| AL | 1275644627 | Medicare PIN | |
| AL | 051531473 | Medicare PIN | |
| AL | 510-09945 | Other | BC 308 6TH ST S, SUITE 105, ONEONTA |
| AL | 051539825 | Other | BC-NORTHEAST ALABAMA SURGERY CENTER |
| AL | 510-10250 | Other | BC 155 MEDICAL ST, SNEAD |
| AL | 515-47845 | Other | BC-209 NORTH MAIN STREET, WEDOWEE |
| F60056 | Medicare UPIN | ||
| AL | 1902917339 | Medicaid | |
| AL | 051531473 | Medicaid | |
| AL | 515-45363 | Other | BC 418 SOUTH 5TH STREET, GADSDEN |
| AL | 510-09944 | Other | BC 715 SNOW ST, OXFORD |
| AL | 515-32560 | Other | BC 250 STATE FARM PARKWAY, BIRMINGHAM |
