MEDICARE: MJB MD LLC

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	207R00000X	Internal Medicine Physician	26222	AL

General Provider Information

NPI Number	:	1730510942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MJB MD LLC

Provider Business Mailing Address
First Line	:	704 HERITAGE PARK LN
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-4199
Country	:	US
Telephone Number	:	205-873-1137
Fax Number	:

Provider Business Practice Location Address
First Line	:	6450 OLD TUSCALOOSA HWY
Second Line	:
City	:	MC CALLA
State	:	AL
Zip	:	35111-3606
Country	:	US
Telephone Number	:	205-477-6161
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL JAMES BURCH
Credential	:	MD
Telephone Number	:	205-873-1137

Provider Enumeration Date	:	12/13/2013
Last Update Date	:	12/19/2025

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