| Timothy Todd Fleenor, MD | |
| 619 19th St S, Birmingham, AL 35249-1900 | |
| (205) 934-5004 | |
| Not Available | 
| Full Name | Timothy Todd Fleenor | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 619 19th St 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 | 
|---|---|---|---|
| 1013275486 | NPI | - | NPPES | 
| 173688 | Medicaid | AL | |
| 511-63239 | Other | AL | BCBS | 
| 511-63240 | Other | AL | BCBS | 
| 173986 | Medicaid | AL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD.34510 (Alabama) | Secondary | 
| 207P00000X | Emergency Medicine | MD.34510 (Alabama) | Primary | 
| Entity Name | Emergency Physicians Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Timothy Todd Fleenor, MD 619 19th St S, Birmingham, AL 35249-1900 Ph: (205) 934-5004 | Timothy Todd Fleenor, MD 619 19th St S, Birmingham, AL 35249-1900 Ph: (205) 934-5004 | 
| Rebekah Cathleen Bowie, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35233 Phone: 205-934-4011 | |
| Janyce M Sanford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1806 Sixth Avenue South, Birmingham, AL 35249 Phone: 205-975-7389 Fax: 205-975-4662 | |
| Dr. Elizabeth Holcombe Adams, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 218 Devon Dr, Birmingham, AL 35209 Phone: 662-368-8602 | |
| Alan Frederick Kitchens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 50 Medical Park Dr E, St. Vincent's East, Birmingham, AL 35235 Phone: 205-545-9530 Fax: 205-545-9529 | |
| John Gullett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-5038 | |
| Jarred Tucker Millard,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 625 19th St S, Birmingham, AL 35233 Phone: 205-934-3640 | |
| Mary H Maddox, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9587 Fax: 205-975-4623 |