Healthcare Provider Details

I. General information

NPI: 1013445071
Provider Name (Legal Business Name): MALIA BREE DOWNING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MALIA B GROSSKREUTZ MD

II. Dates (important events)

Enumeration Date: 06/02/2017
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MEDICAL PARK DR E STE 458
BIRMINGHAM AL
35235-3473
US

IV. Provider business mailing address

2279 VALLEYDALE RD STE 100
HOOVER AL
35244-2111
US

V. Phone/Fax

Practice location:
  • Phone: 205-900-2000
  • Fax:
Mailing address:
  • Phone: 205-214-7546
  • Fax: 205-449-2495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number94-09169
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number42424
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number94-09169
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: