MEDICARE: JOHN DAVID MCBRAYER 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	207RC0000X	Cardiovascular Disease Physician	8977	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	:	1508843061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN DAVID MCBRAYER MD

Provider Business Mailing Address
First Line	:	1022 1ST ST N
Second Line	:	SUITE 500
City	:	ALABASTER
State	:	AL
Zip	:	35007-8706
Country	:	US
Telephone Number	:	205-663-5775
Fax Number	:	205-664-2112

Provider Business Practice Location Address
First Line	:	1022 1ST ST N
Second Line	:	SUITE 500
City	:	ALABASTER
State	:	AL
Zip	:	35007-8706
Country	:	US
Telephone Number	:	205-663-5775
Fax Number	:	205-664-2112

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

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	07/21/2010

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Directions to “ JOHN DAVID MCBRAYER MD” Practice Location

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