Provider Demographics
NPI:1114080017
Name:RAINS, JAMES CONDA JR (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CONDA
Last Name:RAINS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 59449
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35259-9449
Mailing Address - Country:US
Mailing Address - Phone:205-876-8988
Mailing Address - Fax:205-723-0679
Practice Address - Street 1:995 9TH AVE SW STE 310
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-4527
Practice Address - Country:US
Practice Address - Phone:205-876-8988
Practice Address - Fax:205-723-0679
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL5723207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000005186Medicaid
D08192Medicare UPIN