ALABAMA INTERNAL MEDICINE PC

Provider Demographics

• NPI: 1538173281
• Name: ALABAMA INTERNAL MEDICINE PC
• Entity type: Organization
• Organization Name: ALABAMA INTERNAL MEDICINE PC
• Authorized Official - Title/Position: OFFICE MANAGER
• Authorized Official - First Name: ROBIN
• Authorized Official - Last Name: HAND
• Authorized Official - Phone: 205-838-3200
• Mailing Address - Street 1: 48 MEDICAL PARK DR E
• Mailing Address - Street 2: SUITE 356
• Mailing Address - City: BIRMINGHAM
• Mailing Address - State: AL
• Mailing Address - Zip Code: 35235-3400
• Mailing Address - Country: US
• Mailing Address - Phone: 205-838-3200
• Mailing Address - Fax: 205-838-6981
• Practice Address - Street 1: 3536 VANN RD # B
• Practice Address - City: BIRMINGHAM
• Practice Address - State: AL
• Practice Address - Zip Code: 35235-3207
• Practice Address - Country: US
• Practice Address - Phone: 205-838-3200
• Practice Address - Fax: 205-838-6981
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-07-28
• Last Update Date: 2024-06-20

Provider Licenses

State	License ID	Taxonomies
AL		207R00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AL	1700890233	Other	DR. KULBACK INDIVIDUAL NPI
AL	51516833	Other	STEPHEN JACKSON M.D. BCBS
AL	51528670	Other	LORI LYNN D.O. BCBS
AL	051556109	Medicaid
AL	1881865103	Other	INDIVIDUAL NPI FOR DR. GILBERT FRANKLIN DOUGLAS IV
AL	P00274219	Other	NEW RR MEDICARE INDIVIDUAL PTAN 5/9/08 DR. LORI LYNN
AL	1972517472	Other	DR. LYNN INDIVIDUAL NPI
AL	1790799211	Other	DR. JACKSON INDIVIDUAL NPI
AL	1265604227	Other	INDIVIDUAL NPI FOR DR. HERNANDO CARTER
AL	P00004569	Other	DR. JACISON INDIVIDUAL RR MEDICARE
AL	529913030	Medicaid
AL	051553469	Medicaid
AL	110245852	Other	DR. KULBACK INDIVIDUAL RR MEDICARE
AL	51512225	Other	STEVEN KULBACK M.D. BCBS
AL	51516833	Other	DR. JACKSON BCBS
	CK7413	Other	RR MCR
AL	P00167784	Other	DR. LYNN INDIVIDUAL RR MEDICARE
AL	=========	Other	TAX ID
AL	=========	Other	TAX ID
AL	51512225	Other	STEVEN KULBACK M.D. BCBS
AL	051553469	Medicare ID - Type Unspecified	STEPHEN JACKSON M.D.
AL	051553469	Medicare PIN
AL	1700890233	Other	DR. KULBACK INDIVIDUAL NPI
AL	1881865103	Other	INDIVIDUAL NPI FOR DR. GILBERT FRANKLIN DOUGLAS IV
AL	1972517472	Other	DR. LYNN INDIVIDUAL NPI
AL	051512225	Medicare ID - Type Unspecified	STEVEN KULBACK M.D.
AL	051556109	Medicare PIN