Healthcare Provider Details

I. General information

NPI: 1205806213
Provider Name (Legal Business Name): MICHAEL J SILLERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7191 CAHABA VALLEY RD SUITE 301
BIRMINGHAM AL
35242-6402
US

IV. Provider business mailing address

7191 CAHABA VALLEY RD SUITE 301
BIRMINGHAM AL
35242-6402
US

V. Phone/Fax

Practice location:
  • Phone: 205-980-2091
  • Fax: 205-980-2196
Mailing address:
  • Phone: 205-980-2091
  • Fax: 205-980-2196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number14772
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number14772
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: