| Walter Harvey Johnson Jr, MD | |
| 
					1700 6th Ave S, Suite 9100, Birmingham, AL 35233-1802  | |
| (205) 934-4948 | |
| (205) 212-3002 | 
| Full Name | Walter Harvey Johnson Jr | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Cardiology | 
| Location | 1700 6th 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 | 
|---|---|---|---|
| 1902833916 | NPI | - | NPPES | 
| 00014896 | Other | AL | MISSISSIPPI MEDICAID | 
| 2510133 | Other | AL | UHC | 
| 51083871 | Other | AL | BC BS | 
| 5283380 | Other | AL | AETNA | 
| 000083871 | Medicaid | AL | |
| 22070 | Other | AL | HEALTHSPRING | 
| C76721 | Other | VIVA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 12619 (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 | 
|---|---|
| Walter Harvey Johnson Jr, MD Po Box 55823, Birmingham, AL 35255-5823 Ph: (205) 934-4948  | Walter Harvey Johnson Jr, MD 1700 6th Ave S, Suite 9100, Birmingham, AL 35233-1802 Ph: (205) 934-4948  | 
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  |