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NPI Code Detail

MEDICARE: DR. TODD DAVID ALEXANDER MD SC

MEDICARE: DR. TODD DAVID ALEXANDER MD SC
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
1207T00000XNeurological Surgery Physician036087626IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DB6066OTHERILRAILROAD MEDICARE GROUP NUMBER
4140007501OTHERILRAILROAD MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
310107489OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1972572139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TODD DAVID ALEXANDER MD SC
Provider Business Mailing Address
First Line : 5875 E RIVERSIDE BLVD
Second Line : SUITE 210
City : ROCKFORD
State : IL
Zip : 61114-4937
Country : US
Telephone Number : 815-381-7431
Fax Number :
Provider Business Practice Location Address
First Line : 5875 E RIVERSIDE BLVD
Second Line :
City : ROCKFORD
State : IL
Zip : 61114-4937
Country : US
Telephone Number : 815-381-7431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 12/17/2021

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Directions to “ DR. TODD DAVID ALEXANDER MD SC” Practice Location

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