Healthcare Provider Details

I. General information

NPI: 1497999742
Provider Name (Legal Business Name): CHRISTOPHER H DODD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 AL HIGHWAY 157
CULLMAN AL
35058-1271
US

IV. Provider business mailing address

PO BOX 2895
CULLMAN AL
35056-2895
US

V. Phone/Fax

Practice location:
  • Phone: 256-735-5075
  • Fax: 256-964-3382
Mailing address:
  • Phone: 256-735-5075
  • Fax: 256-964-3382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number49283
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD30363
License Number StateAL

VII. Legacy identifiers

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

# 1
IdentifierMD30363
Identifier TypeOTHER
Identifier StateAL
Identifier IssuerMEDICAL LICENSE
# 2
IdentifierMD49283
Identifier TypeOTHER
Identifier StateTN
Identifier IssuerMEDICAL LICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: