MEDICARE: DR. BARRY L. FIELDS 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	2086S0129X	Vascular Surgery Physician	16905	AL
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	16905	AL

General Provider Information

NPI Number	:	1700048998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY L. FIELDS M.D.

Provider Business Mailing Address
First Line	:	4700 SOUTHLAKE PKWY
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35244-3202
Country	:	US
Telephone Number	:	205-733-1306
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 SOUTHLAKE PKWY
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35244-3202
Country	:	US
Telephone Number	:	205-733-1306
Fax Number	:

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

Provider Enumeration Date	:	06/28/2008
Last Update Date	:	07/28/2008

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