Healthcare Provider Details

I. General information

NPI: 1982601423
Provider Name (Legal Business Name): MICHAEL R. BARLOW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4112 WATERMELON RD
NORTHPORT AL
35473
US

IV. Provider business mailing address

3504 COLD HARBOR LN
MOUNTAIN BRK AL
35223-1636
US

V. Phone/Fax

Practice location:
  • Phone: 205-710-3800
  • Fax:
Mailing address:
  • Phone: 205-710-3800
  • Fax: 205-710-3799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License NumberMD26506
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD.26506
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: