Healthcare Provider Details

I. General information

NPI: 1043122039
Provider Name (Legal Business Name): DIRECT ALLERGY CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 INVERNESS CENTER DR STE 200
BIRMINGHAM AL
35242-4834
US

IV. Provider business mailing address

1925 E GLENN AVE STE 101
AUBURN AL
36830-5729
US

V. Phone/Fax

Practice location:
  • Phone: 205-453-4747
  • Fax: 205-463-1000
Mailing address:
  • Phone: 334-528-0185
  • Fax: 334-528-0079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN W TOLE
Title or Position: OWNER/PHYSICIAN
Credential: DO
Phone: 334-528-0185