Healthcare Provider Details

I. General information

NPI: 1093338618
Provider Name (Legal Business Name): MATTHEW CHARLES ANDERSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 GADSDEN HWY
BIRMINGHAM AL
35235-3134
US

IV. Provider business mailing address

1801 GADSDEN HWY
BIRMINGHAM AL
35235-3134
US

V. Phone/Fax

Practice location:
  • Phone: 205-228-7600
  • Fax: 205-228-7601
Mailing address:
  • Phone: 205-228-7600
  • Fax: 205-228-7601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number84484
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number50973
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: