Provider Demographics
NPI:1023201258
Name:WALKER WOMEN'S SPECIALISTS
Entity Type:Organization
Organization Name:WALKER WOMEN'S SPECIALISTS
Other - Org Name:BRUNNER OBSTETRICS & GYNECOLOGY PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:THALER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-275-1009
Mailing Address - Street 1:304 BLACKWELL DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35504
Mailing Address - Country:US
Mailing Address - Phone:205-384-4801
Mailing Address - Fax:205-384-4538
Practice Address - Street 1:304 BLACKWELL DAIRY RD
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35504
Practice Address - Country:US
Practice Address - Phone:205-384-4801
Practice Address - Fax:205-384-4538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL28185174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALL271Medicare PIN