Provider Demographics
NPI:1629257365
Name:NGUYEN, TUAN V (MD)
Entity type:Individual
Prefix:
First Name:TUAN
Middle Name:V
Last Name:NGUYEN
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 1:516 BROOKWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7054
Mailing Address - Country:US
Mailing Address - Phone:205-397-2663
Mailing Address - Fax:205-278-0049
Practice Address - Street 1:516 BROOKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-7054
Practice Address - Country:US
Practice Address - Phone:205-397-2663
Practice Address - Fax:205-278-0049
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL30185207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL120200Medicaid
SDP01265202OtherRR MEDICARE
AL120200Medicaid
AL102I140034Medicare PIN
SDS107051Medicare PIN