Healthcare Provider Details

I. General information

NPI: 1558412122
Provider Name (Legal Business Name): PETER GEORGE CASTEN JR. MD MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 UNIVERSITY BLVD EAST STE 211
TUSCALOOSA AL
35401
US

IV. Provider business mailing address

701 UNIVERSITY BLVD EAST STE 211
TUSCALOOSA AL
35401
US

V. Phone/Fax

Practice location:
  • Phone: 205-333-4300
  • Fax: 205-343-8150
Mailing address:
  • Phone: 205-333-4300
  • Fax: 205-343-8150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number00019238
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number00019238
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number00019238
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: