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NPI Code Detail

MEDICARE: DR. CHARLIE JOE TALBERT JR. M.D.

MEDICARE: DR. CHARLIE JOE TALBERT JR. 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
1207XS0117XOrthopaedic Surgery of the Spine PhysicianMD.19103AL
2207X00000XOrthopaedic Surgery PhysicianMD.19103AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
299249OTHERALBCBS OF ALABAMA

General Provider Information

NPI Number : 1629026158
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLIE JOE TALBERT JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 830791
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35283-0791
Country : US
Telephone Number : 205-985-4111
Fax Number : 205-985-4326
Provider Business Practice Location Address
First Line : 4517 SOUTHLAKE PKWY
Second Line : SUITE 202
City : BIRMINGHAM
State : AL
Zip : 35244-3280
Country : US
Telephone Number : 205-985-4111
Fax Number : 205-985-4326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 05/09/2023

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