Healthcare Provider Details

I. General information

NPI: 1457391369
Provider Name (Legal Business Name): BRUCE ARTHUR MORGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BRUCE A MORGAN MD

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 02/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 SAINT VINCENTS DR STE 402
BIRMINGHAM AL
35205-1606
US

IV. Provider business mailing address

833 SAINT VINCENTS DR STE 402
BIRMINGHAM AL
35205-1606
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-9236
  • Fax: 205-933-9213
Mailing address:
  • Phone: 205-933-9236
  • Fax: 205-933-9213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26242
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number26242
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: