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1659376911

NPI Code Detail

MEDICARE: DR. CHARLES L TORGERSON II MD

MEDICARE: DR. CHARLES L TORGERSON II 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	2085P0229X	Pediatric Radiology Physician	00015482	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	300070699	OTHER	AL	RAILROAD MEDICARE UAB

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	515-20577	OTHER	AL	BLUE CROSS
5	515-26084	OTHER	AL	BLUE CROSS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	510-31375	OTHER	AL	BLUE CROSS
8	515-04804	OTHER	AL	BCBS (UAB)
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	515-90103	OTHER	AL	BLUE CROSS
11	630842160	OTHER	AL	AETNA
12	511-61147	OTHER	AL	BLUE CROSS
13	515-97926	OTHER	AL	BLUE CROSS
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659376911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES L TORGERSON II MD

Provider Business Mailing Address
First Line	:	2000A SOUTHBRIDGE PKWY
Second Line	:	STE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-7718
Country	:	US
Telephone Number	:	205-871-4274
Fax Number	:	205-871-4301

Provider Business Practice Location Address
First Line	:	1600 7TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35233-1711
Country	:	US
Telephone Number	:	205-939-9665
Fax Number	:

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	12/30/2015

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Directions to “ DR. CHARLES L TORGERSON II MD” Practice Location

Language	Start Address	Practice Location

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