Provider Demographics
NPI:1144272725
Name:SCOTT, DAVID W (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2209 ESTATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830
Mailing Address - Country:US
Mailing Address - Phone:334-332-4580
Mailing Address - Fax:
Practice Address - Street 1:215 PERRY HILL ROAD
Practice Address - Street 2:(CENTRAL AL VETERANS HEALTH CARE SYSTEM
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109
Practice Address - Country:US
Practice Address - Phone:334-749-8303
Practice Address - Fax:334-745-5243
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL0015717207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51034743SCOOtherBLUE CROSS & BLUE SHIELD
AL000034743Medicaid
AL51098562SCOOtherBLUE CROSS & BLUE SHIELD
AL000098560Medicaid
AL51034744SCOOtherBLUE CROSS & BLUE SHIELD
AL000034744Medicaid
AL000098560Medicaid
AL000034744Medicaid
AL000034743Medicaid