Healthcare Provider Details

I. General information

NPI: 1922187350
Provider Name (Legal Business Name): DOUBLE OAK FAMILY MEDICINE,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MISSIONARY RDG SUITE 100
BIRMINGHAM AL
35242-5255
US

IV. Provider business mailing address

101 MISSIONARY RDG SUITE 100
BIRMINGHAM AL
35242-5255
US

V. Phone/Fax

Practice location:
  • Phone: 205-995-2520
  • Fax: 205-995-2539
Mailing address:
  • Phone: 205-995-2520
  • Fax: 205-995-2539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number16246
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number16246
License Number StateAL

VIII. Authorized Official

Name: DR. HARVEY SCOTT HARMON
Title or Position: PRESIDENT
Credential: MD
Phone: 205-995-2520