Healthcare Provider Details

I. General information

NPI: 1780660142
Provider Name (Legal Business Name): KENNETH M SIGMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 GRANDVIEW PKWY STE 100
BIRMINGHAM AL
35243-2065
US

IV. Provider business mailing address

1 INDEPENDENCE PLZ STE 900
BIRMINGHAM AL
35209-2629
US

V. Phone/Fax

Practice location:
  • Phone: 205-271-8000
  • Fax: 205-879-0548
Mailing address:
  • Phone: 205-271-8000
  • Fax: 205-879-0548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number131990
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number15893
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: