Healthcare Provider Details

I. General information

NPI: 1083893309
Provider Name (Legal Business Name): PEYTON A. PAISLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 BROOKWOOD MEDICAL CTR DR
BIRMINGHAM AL
35209-6804
US

IV. Provider business mailing address

PO BOX 830525 DEPARTMENT OWC 35
BIRMINGHAM AL
35283-0525
US

V. Phone/Fax

Practice location:
  • Phone: 205-877-2707
  • Fax: 205-877-2917
Mailing address:
  • Phone: 205-263-4700
  • Fax: 205-263-4699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01066861A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20224
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01066861A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD27831
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: