MEDICARE: TIMOTHY PATRICK MURPHY D.P.M.

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	213E00000X	Podiatrist	238	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51098551	OTHER	AL	BCBS
2	51514149	OTHER	AL	BCBS SARALAND
3	5159781	OTHER	AL	BCBS TILLMAN

General Provider Information

NPI Number	:	1518029024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY PATRICK MURPHY D.P.M.

Provider Business Mailing Address
First Line	:	30723A EMBER LN
Second Line	:	UNIT 2
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5105
Country	:	US
Telephone Number	:	251-621-8699
Fax Number	:	251-621-7450

Provider Business Practice Location Address
First Line	:	30723A EMBER LN
Second Line	:	UNIT 2
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5105
Country	:	US
Telephone Number	:	251-621-8699
Fax Number	:	251-621-7450

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

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	02/28/2008

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