| Michael Bryan Faircloth, MD | |
|
1714 9th Ave S, Birmingham, AL 35205-3606 | |
| (205) 934-3581 | |
| Not Available |
| Full Name | Michael Bryan Faircloth |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1714 9th Ave S, 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 |
|---|---|---|---|
| 1396794830 | NPI | - | NPPES |
| 051523273FAI | Other | AL | BLUE CROSS BLUE SHIELD |
| 051540413 | Other | AL | BCBS |
| 009941842 | Medicaid | AL | |
| 051540412 | Other | AL | BCBS |
| 009941841 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AL15983 (Alabama) | Secondary |
| 207R00000X | Internal Medicine | 15983 (Alabama) | Primary |
| Entity Name | University Of Alabama At Birmingham |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184738478 PECOS PAC ID: 3779487970 Enrollment ID: O20031120000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bryan Faircloth, MD P O Box 55309, Birmingham, AL 35233 Ph: () - | Michael Bryan Faircloth, MD 1714 9th Ave S, Birmingham, AL 35205-3606 Ph: (205) 934-3581 |
Juan Mario Bernal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3680 Grandview Pkwy Ste 200, Birmingham, AL 35243 Phone: 205-971-7500 Fax: 205-971-7571 | |
Dr. William Randolph Maddox, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-783-3000 Fax: 205-297-9411 | |
Jodie Ann Dionne, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 703 19th St S Bldg 206, Birmingham, AL 35233 Phone: 205-975-6530 | |
Dr. Karl Tullio Schroeder, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 817 Princeton Ave Sw Ste 199, Birmingham, AL 35211 Phone: 205-780-1920 Fax: 205-780-2345 | |
Amitkumar Mehta, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 2nd Ave S # Np2540t, Birmingham, AL 35294 Phone: 205-996-8400 Fax: 205-934-1608 | |
Shana Monika Machado, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-4011 | |
Dr. Albert F. Lobuglio, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1802 6th Ave S, Np 2556, Birmingham, AL 35233 Phone: 205-934-5077 Fax: 205-975-7428 |