Healthcare Provider Details

I. General information

NPI: 1164442208
Provider Name (Legal Business Name): JOSEPH MADDEN SHERRILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MONTGOMERY HWY SUITE 200
BIRMINGHAM AL
35216-1842
US

IV. Provider business mailing address

200 MONTGOMERY HWY SUITE 200
BIRMINGHAM AL
35216-1842
US

V. Phone/Fax

Practice location:
  • Phone: 205-822-9595
  • Fax: 205-822-4733
Mailing address:
  • Phone: 205-822-9595
  • Fax: 205-822-4733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number00007624
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number7624
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: