Healthcare Provider Details

I. General information

NPI: 1124439146
Provider Name (Legal Business Name): JUSTIN ALDRED D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2014
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 BROOKWOOD MEDICAL CTR DR STE 402
BIRMINGHAM AL
35209
US

IV. Provider business mailing address

2006 BROOKWOOD MEDICAL CTR DR STE 402
BIRMINGHAM AL
35209-6823
US

V. Phone/Fax

Practice location:
  • Phone: 205-397-9000
  • Fax: 205-397-9001
Mailing address:
  • Phone: 205-397-9000
  • Fax: 205-397-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number1802
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: