MEDICARE: DR. JULIAN JERROD JESUBATHAM 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	207R00000X	Internal Medicine Physician	MD.36071	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	:	1659682904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIAN JERROD JESUBATHAM MD

Provider Business Mailing Address
First Line	:	200 OFFICE PARK DR
Second Line	:
City	:	GULF SHORES
State	:	AL
Zip	:	36542-3432
Country	:	US
Telephone Number	:	251-968-7379
Fax Number	:	251-968-5960

Provider Business Practice Location Address
First Line	:	200 OFFICE PARK DR
Second Line	:
City	:	GULF SHORES
State	:	AL
Zip	:	36542-3432
Country	:	US
Telephone Number	:	251-968-7379
Fax Number	:	251-968-5960

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

Provider Enumeration Date	:	07/01/2010
Last Update Date	:	11/13/2020

Similar Medicare Providers

1609868454 — DR. KATHLEEN COLE LOVLIE MD
Practice Location Address:

232 OFFICE PARK DR
GULF SHORES, AL
36542-3432

Practice Phone: 251-968-2323
Practice Fax: 251-968-2134

1265456131 — JOE NEAL SPRAYBERRY PT
Practice Location Address:

208 OFFICE PARK DR
GULF SHORES, AL
36542-3432

Practice Phone: 251-948-2045
Practice Fax: 251-948-2048

1942319819 — MR. THOMAS JOHN DAVIDSON III MD
Practice Location Address:

200 OFFICE PARK DRIVE
GULF SHORES, AL
36542-3432

Practice Phone: 251-968-7379
Practice Fax: 251-968-5960

1073648036 — ENCORE REHABILITATION INC
Practice Location Address:

208 OFFICE PARK DR
GULF SHORES, AL
36542-3432

Practice Phone: 251-948-2045
Practice Fax: 251-948-2048

1730208620 — PAMELA MINTZ JEFFRIES PT
Practice Location Address:

208 OFFICE PARK DR
GULF SHORES, AL
36542-3432

Practice Phone: 251-948-2045
Practice Fax: 251-948-2048

1316245301 — REBECCA LEE BRANUM AUTREY PNP
Practice Location Address:

232 OFFICE PARK DR
GULF SHORES, AL
36542-3432

Practice Phone: 251-968-2323
Practice Fax: 251-968-2134

Directions to “ DR. JULIAN JERROD JESUBATHAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.