MEDICARE: CAROLINE A REICH 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
1	174400000X	Specialist	22685	AL
2	2085R0202X	Diagnostic Radiology Physician	22685	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
11	P00261255	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	511-09172	OTHER	AL	BLUE CROSS
2	511-19337	OTHER	AL	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	P00909960	OTHER	AL	RRMC
5	511-09173	OTHER	AL	BLUE CROSS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	511-19336	OTHER	AL	BLUE CROSS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	511-09174	OTHER	AL	BLUE CROSS
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	511-02635	OTHER	AL	BLUE CROSS
14	511-09171	OTHER	AL	BLUE CROSS
15	511-60194	OTHER	AL	BLUE CROSS
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992700199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE A REICH MD

Provider Business Mailing Address
First Line	:	2000A SOUTHBRIDGE PKWY
Second Line	:	STE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-7718
Country	:	US
Telephone Number	:	205-871-4274
Fax Number	:	205-871-4301

Provider Business Practice Location Address
First Line	:	3634 MONTEVALLO RD S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35213-4206
Country	:	US
Telephone Number	:	205-567-0755
Fax Number	:

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	12/12/2024

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Directions to “ CAROLINE A REICH MD” Practice Location

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