| Matthew Joseph Reardon, MD, MPH | |
| 6 Office Park Cir, Suite 100, Birmingham, AL 35223-2512 | |
| (205) 795-3125 | |
| (205) 795-3001 | 
| Full Name | Matthew Joseph Reardon | 
|---|---|
| Gender | Male | 
| Speciality | General Practice | 
| Location | 6 Office Park Cir, Birmingham, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760482475 | NPI | - | NPPES | 
| 51510445 | Other | AL | BLUECROSS BLUESHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 22741 (Alabama) | Secondary | 
| 208D00000X | General Practice | 13742 (Nevada) | Primary | 
| Entity Name | American Family Care, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Joseph Reardon, MD, MPH 151 W Brooks Ave, North Las Vegas, NV 89030-3901 Ph: (702) 227-1835 | Matthew Joseph Reardon, MD, MPH 6 Office Park Cir, Suite 100, Birmingham, AL 35223-2512 Ph: (205) 795-3125 | 
| Dr. Zachary Eugene Clark, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-4011 | |
| Jeffrey Lee Love, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 110 Oxmoor Ct, Birmingham, AL 35209 Phone: 205-945-0773 Fax: 205-945-0426 | |
| Richard Leroy Ellis, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2657 Park Lane Ct East--unit F, Birmingham, AL 35223 Phone: 205-879-1386 | |
| Dr. Shawn Wesley Haynes, MD, CST General Practice Medicare: Medicare Enrolled Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-838-3900 Fax: 205-838-3906 | |
| Anil Kumar Mahavadi,  General Practice Medicare: Medicare Enrolled Practice Location: 625 19th St S, Birmingham, AL 35233 Phone: 205-934-4793 | |
| Tanner George Greiving, MD General Practice Medicare: Medicare Enrolled Practice Location: 1802 6th Ave S, Birmingham, AL 35233 Phone: 205-975-3162 | |
| Rodrigo Jesus Salas Zubillaga, MD General Practice Medicare: Medicare Enrolled Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-838-3900 Fax: 205-838-3906 |