Healthcare Provider Details

I. General information

NPI: 1255396388
Provider Name (Legal Business Name): TERRY M BIERD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 10TH AVE S SUITE 636
BIRMINGHAM AL
35205-1605
US

IV. Provider business mailing address

2660 10TH AVE S SUITE 636
BIRMINGHAM AL
35205-1605
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-2220
  • Fax: 205-930-2223
Mailing address:
  • Phone: 205-930-2220
  • Fax: 205-930-2223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number00011527
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: