Provider Demographics
NPI:1003802497
Name:JAMES, DAVID E (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 SHIELDS RD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-7800
Mailing Address - Country:US
Mailing Address - Phone:256-382-3680
Mailing Address - Fax:256-382-3588
Practice Address - Street 1:46 SHIELDS RD
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-7800
Practice Address - Country:US
Practice Address - Phone:256-382-3680
Practice Address - Fax:256-382-3588
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL33465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64037575Medicaid
KY666005Medicare ID - Type Unspecified
H51497Medicare UPIN
KY381108Medicare ID - Type Unspecified