Healthcare Provider Details

I. General information

NPI: 1144484395
Provider Name (Legal Business Name): JEFFREY B ALBRIGHT MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 10/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 BROOKWOOD MEDICAL CTR DR SUITE 313
BIRMINGHAM AL
35209-6808
US

IV. Provider business mailing address

2022 BROOKWOOD MEDICAL CTR DR SUITE 313
BIRMINGHAM AL
35209-6808
US

V. Phone/Fax

Practice location:
  • Phone: 205-877-2910
  • Fax: 205-879-4649
Mailing address:
  • Phone: 205-877-2910
  • Fax: 205-879-4649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberA96750
License Number StateCA

VIII. Authorized Official

Name: BRIAN D. LASKER
Title or Position: ADMINISTRATOR
Credential: MBA
Phone: 205-877-2910