Provider Demographics
NPI:1730165325
Name:ALBERT, MICHAEL A (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:ALBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:700 18TH ST S
Mailing Address - Street 2:SUITE 707
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1856
Mailing Address - Country:US
Mailing Address - Phone:205-329-7100
Mailing Address - Fax:205-329-7101
Practice Address - Street 1:700 18TH ST S
Practice Address - Street 2:SUITE 707
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1856
Practice Address - Country:US
Practice Address - Phone:205-329-7100
Practice Address - Fax:205-329-7101
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL24730207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI29143OtherHEALTH SPRING
AL51555905OtherBLUE CROSS
AL009991125/529403900Medicaid
AL51555905Medicare ID - Type Unspecified
AL51555905OtherBLUE CROSS