| Michele Holloway Nichols, MD | |
|
1600 7th Ave S, Birmingham, AL 35233-1711 | |
| (205) 638-9587 | |
| (205) 975-4623 |
| Full Name | Michele Holloway Nichols |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 1600 7th 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 |
|---|---|---|---|
| 1568450377 | NPI | - | NPPES |
| 100292 | Medicaid | AL | |
| 510-95307 | Other | AL | BCBS |
| 1568450377 | Other | AL | TRICARE SOUTH |
| 515-90063 | Other | AL | BCBS |
| 7897225 | Other | AL | AETNA |
| 009928360 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD.15188 (Alabama) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | MD.15188 (Alabama) | Primary |
| Entity Name | University Of Alabama Health Services Foundation, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Holloway Nichols, MD 1600 7th Ave S Ste 110, Birmingham, AL 35233-1711 Ph: (205) 638-9587 | Michele Holloway Nichols, MD 1600 7th Ave S, Birmingham, AL 35233-1711 Ph: (205) 638-9587 |
Robert Patrick Richter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9100 | |
Dr. Mary Orr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9100 Fax: 205-934-7273 | |
Roger Dean Bruce, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2660 10th Ave S, Suite 636, Birmingham, AL 35205 Phone: 205-930-2220 Fax: 205-930-2223 | |
Stephanie Berger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Mcwane Building Suite 108, Birmingham, AL 35233 Phone: 205-638-2904 | |
Jaime Dion Mckinney, Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Volker Hl, Birmingham, AL 35294 Phone: 205-934-3795 | |
Worth Littlejohn Barbour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-939-9587 | |
Timothy Todd Fleenor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-5004 |