Healthcare Provider Details

I. General information

NPI: 1568807378
Provider Name (Legal Business Name): MICHAEL POLCARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 BROOKWOOD BLVD
BIRMINGHAM AL
35209-6802
US

IV. Provider business mailing address

504 BROOKWOOD BLVD
BIRMINGHAM AL
35209-6802
US

V. Phone/Fax

Practice location:
  • Phone: 205-871-9661
  • Fax: 205-870-1621
Mailing address:
  • Phone: 205-871-9661
  • Fax: 205-870-1621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number34041
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: