Healthcare Provider Details

I. General information

NPI: 1760445092
Provider Name (Legal Business Name): JAMES ROSS VEAL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 04/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1979 AL HIGHWAY 157
CULLMAN AL
35058-0672
US

IV. Provider business mailing address

250 STATE FARM PKWY
BIRMINGHAM AL
35209-7181
US

V. Phone/Fax

Practice location:
  • Phone: 256-734-9613
  • Fax: 256-734-5005
Mailing address:
  • Phone: 205-943-4600
  • Fax: 205-943-4688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number00007773
License Number StateAL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier510-00041
Identifier TypeOTHER
Identifier StateAL
Identifier IssuerBC-1979 ALABAMA HIGHWAY 157, CULLMAN
# 2
Identifier000000041
Identifier TypeMEDICAID
Identifier StateAL
Identifier Issuer
# 3
Identifier1760445092
Identifier TypeMEDICAID
Identifier StateAL
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: