Provider Demographics
NPI:1003097114
Name:SCHROEDER, KARL TULLIO (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:TULLIO
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:503 CLARK ST NE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-1921
Mailing Address - Country:US
Mailing Address - Phone:256-739-0801
Mailing Address - Fax:256-739-0027
Practice Address - Street 1:817 PRINCETON AVE SW STE 199
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1350
Practice Address - Country:US
Practice Address - Phone:205-780-1920
Practice Address - Fax:205-780-2345
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL30340207R00000X, 207RC0200X, 207RP1001X
WI2618207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL30340OtherALABAMA MEDICAL LICENSURE COMMISSION
AL1598717381Medicaid
AL184047Medicaid