MEDICARE: DR. MARY EVELYN MONTGOMERY O'NEIL 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
1	208000000X	Pediatrics Physician	51199290	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	093996400	OTHER	AL	AETNA
2	511-99290	OTHER	AL	BLUE CROSS BLUE SHIELD OF ALABAMA
3	1982865820	OTHER	AL	CIGNA

General Provider Information

NPI Number	:	1982865820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY EVELYN MONTGOMERY O'NEIL M.D.

Provider Business Mailing Address
First Line	:	2815 INDEPENDENCE DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-4178
Country	:	US
Telephone Number	:	205-879-7888
Fax Number	:	205-879-6822

Provider Business Practice Location Address
First Line	:	2815 INDEPENDENCE DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-4178
Country	:	US
Telephone Number	:	205-879-7888
Fax Number	:

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

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	08/13/2025

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