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NPI Code Detail

MEDICARE: SCOTT ALAN GRUMLEY MD

MEDICARE: SCOTT ALAN GRUMLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician00021148AL

General Provider Information

NPI Number : 1285619403
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT ALAN GRUMLEY MD
Provider Business Mailing Address
First Line : 3641 DOVER DR
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2875
Country : US
Telephone Number : 205-410-6884
Fax Number :
Provider Business Practice Location Address
First Line : 1802 6TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1932
Country : US
Telephone Number : 205-934-7133
Fax Number : 205-975-4413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 05/04/2026

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