MEDICARE: DR. ALAN BRUCE WALKER M.D.

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
1	207Q00000X	Family Medicine Physician	00015289	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518951698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN BRUCE WALKER M.D.

Provider Business Mailing Address
First Line	:	310 PINE ST NW
Second Line	:	SUITE A
City	:	HARTSELLE
State	:	AL
Zip	:	35640-2316
Country	:	US
Telephone Number	:	256-773-2979
Fax Number	:	256-773-2986

Provider Business Practice Location Address
First Line	:	615 MYNATT STREET
Second Line	:	SUITE E
City	:	HARTSELLE
State	:	AL
Zip	:	35640
Country	:	US
Telephone Number	:	256-773-2979
Fax Number	:	256-773-2986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	03/17/2018

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Directions to “ DR. ALAN BRUCE WALKER M.D.” Practice Location

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