MEDICARE: JEFF CHAIPRAKOB M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	00025402	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051535519	OTHER	AL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1376083	OTHER	TN	BCBS-TN
5	051535518	OTHER	AL	BCBS
6	I56522	OTHER	AL	HEALTHSPRINGS OF AL
7	0800390	OTHER	AL	UNITEDHEALTHCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	051535520	OTHER	AL	BCBS
10	933428	OTHER	AL	BLOCK VISION
11	I56522	OTHER	AL	VIVA HEALTH

General Provider Information

NPI Number	:	1134179013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFF CHAIPRAKOB M.D.

Provider Business Mailing Address
First Line	:	PO BOX 59449
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35259-9449
Country	:	US
Telephone Number	:	205-876-8988
Fax Number	:	205-374-8534

Provider Business Practice Location Address
First Line	:	1960 GADSDEN HWY STE 120
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-4201
Country	:	US
Telephone Number	:	205-876-8988
Fax Number	:	205-374-8534

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/22/2024

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Directions to “ JEFF CHAIPRAKOB M.D.” Practice Location

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