Provider Demographics
NPI:1104038306
Name:CHERRY, DAVID MICHAEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:CHERRY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:SPAIN WALLACE BUILDING RM WP915
Mailing Address - Street 2:619 19TH STREET SOUTH
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0001
Mailing Address - Country:US
Mailing Address - Phone:205-975-0512
Mailing Address - Fax:205-975-6404
Practice Address - Street 1:SPAIN WALLACE BUILDING RM WP915
Practice Address - Street 2:619 19TH STREET SOUTH
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-0001
Practice Address - Country:US
Practice Address - Phone:205-975-0512
Practice Address - Fax:205-975-6404
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2023-06-30
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Provider Licenses
StateLicense IDTaxonomies
AL27049207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009910036Medicaid
AL009910037Medicaid
AL051541613OtherBLUE CROSS
AL051541614OtherBLUE CROSS
AL051541613OtherBLUE CROSS