Healthcare Provider Details

I. General information

NPI: 1962142992
Provider Name (Legal Business Name): ALEXANDER MICHAEL KOFSKEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 19TH ST S
BIRMINGHAM AL
35249-1900
US

IV. Provider business mailing address

5637 6TH CT S
BIRMINGHAM AL
35212-3733
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4696
  • Fax:
Mailing address:
  • Phone: 256-682-4186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number46799
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: