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NPI Code Detail

MEDICARE: DR. LAURA BRIDGETTE MONTGOMERY-BAREFIELD MD

MEDICARE:  DR. LAURA BRIDGETTE MONTGOMERY-BAREFIELD  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
12084P0804XChild & Adolescent Psychiatry Physician24288AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16260048544OTHERALRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1881649317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA BRIDGETTE MONTGOMERY-BAREFIELD MD
Provider Business Mailing Address
First Line : 1592 WOODRIDGE PL
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-1658
Country : US
Telephone Number : 205-533-0022
Fax Number :
Provider Business Practice Location Address
First Line : 2100 SOUTHBRIDGE PKWY # 650
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1317
Country : US
Telephone Number : 205-414-7402
Fax Number : 445-800-8430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 09/27/2022

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Directions to “ DR. LAURA BRIDGETTE MONTGOMERY-BAREFIELD MD” Practice Location

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