1679502421 NPI number — DR. ANDREA BARBER MCMURPHY MD

Table of content: DR. ANDREA BARBER MCMURPHY MD (NPI 1679502421)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679502421 NPI number — DR. ANDREA BARBER MCMURPHY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCMURPHY
Provider First Name:
ANDREA
Provider Middle Name:
BARBER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARBER
Provider Other First Name:
ANDREA
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1679502421
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2880 DAUPHIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36606-2457
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-473-1900
Provider Business Mailing Address Fax Number:
251-470-8943

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2880 DAUPHIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36606-2457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-473-1900
Provider Business Practice Location Address Fax Number:
251-470-8943
Provider Enumeration Date:
07/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  00025815 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)