Provider Demographics
NPI:1083706758
Name:BUFFORD, FRANKLIN KEITH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:KEITH
Last Name:BUFFORD
Suffix:JR
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 1:665 NORTH DEAN ROAD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830
Mailing Address - Country:US
Mailing Address - Phone:334-826-1111
Mailing Address - Fax:334-321-0399
Practice Address - Street 1:665 NORTH DEAN ROAD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830
Practice Address - Country:US
Practice Address - Phone:334-826-1111
Practice Address - Fax:334-321-0399
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00014130207Q00000X
AL14130207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051520335Medicare ID - Type Unspecified
ALC72048Medicare UPIN