Healthcare Provider Details

I. General information

NPI: 1568084960
Provider Name (Legal Business Name): ANDREW DANIEL ALLEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2020
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 13TH ST S STE 230
BIRMINGHAM AL
35205-5327
US

IV. Provider business mailing address

1036 FLAGLER ST
DURHAM NC
27713-8377
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-7081
  • Fax:
Mailing address:
  • Phone: 919-995-2725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number261792
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD.51035
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number96799
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: