MEDICARE: MR. JAMES FRANCIS DELONG MD

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	207R00000X	Internal Medicine Physician	7380	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00111804	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	051517754	OTHER	AL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1306814405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES FRANCIS DELONG MD

Provider Business Mailing Address
First Line	:	2147 RIVERCHASE OFFICE RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35244-1836
Country	:	US
Telephone Number	:	205-403-8902
Fax Number	:	205-982-0278

Provider Business Practice Location Address
First Line	:	6554 AARON ARONOV DR
Second Line	:	AMERICAN FAMILY CARE INC
City	:	FAIRFIELD
State	:	AL
Zip	:	35064
Country	:	US
Telephone Number	:	205-786-5022
Fax Number	:	205-786-5028

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	09/11/2012

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