MEDICARE: BRIAN DUANE RAGLAND 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	23592	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386699387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN DUANE RAGLAND M.D.

Provider Business Mailing Address
First Line	:	PO BOX 830230
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35283-0230
Country	:	US
Telephone Number	:	205-250-6000
Fax Number	:	205-250-6848

Provider Business Practice Location Address
First Line	:	2112 ROCKY RIDGE RD
Second Line	:	STE. 200
City	:	HOOVER
State	:	AL
Zip	:	35216-5138
Country	:	US
Telephone Number	:	205-545-8550
Fax Number	:	205-822-0136

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	03/20/2015

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