Healthcare Provider Details

I. General information

NPI: 1154448652
Provider Name (Legal Business Name): EVANS CECIL BAILEY MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6234 TATTERSALL BLVD
BIRMINGHAM AL
35242-4279
US

IV. Provider business mailing address

6234 TATTERSALL BLVD
BIRMINGHAM AL
35242-4279
US

V. Phone/Fax

Practice location:
  • Phone: 205-453-4195
  • Fax: 205-533-7385
Mailing address:
  • Phone: 205-453-4195
  • Fax: 205-533-7385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number26882
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number26882
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: