Healthcare Provider Details

I. General information

NPI: 1497751127
Provider Name (Legal Business Name): JAMES RICHARD GEWIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140A CAHABA HEIGHTS RD
BIRMINGHAM AL
35243-5243
US

IV. Provider business mailing address

3140A CAHABA HEIGHTS RD
BIRMINGHAM AL
35243-5243
US

V. Phone/Fax

Practice location:
  • Phone: 205-967-9248
  • Fax: 205-967-7125
Mailing address:
  • Phone: 205-967-9248
  • Fax: 205-967-7125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number10526
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number10526
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: