Healthcare Provider Details

I. General information

NPI: 1124069240
Provider Name (Legal Business Name): STEPHEN FRED JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 W GRAND AVE
RAINBOW CITY AL
35906-3236
US

IV. Provider business mailing address

310 W GRAND AVE
RAINBOW CITY AL
35906-3236
US

V. Phone/Fax

Practice location:
  • Phone: 256-459-5132
  • Fax: 256-459-5179
Mailing address:
  • Phone: 256-459-5132
  • Fax: 256-459-5179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number00014926
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number14926
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.14926
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: