Provider Demographics
NPI:1184650152
Name:DELGADO, DENNIS G (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:G
Last Name:DELGADO
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:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35255-5310
Practice Address - Country:US
Practice Address - Phone:205-934-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7184207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009943009Medicaid
ALP00799671OtherRAILROAD MEDICARE
AL051594050OtherBCBS
AL105715Medicaid
AL105722Medicaid
AL121708Medicaid
MS01279851Medicaid
AL051110663OtherBCBS
AL000038318Medicaid
AL051594051OtherBCBS
ALP00408514OtherRAILROAD MEDICARE
AL051594048OtherBCBS
AL510-05048OtherBC BS OF ALABAMA
AL051039961OtherBLUECROSS BLUESHIELD AL
AL105717Medicaid
AL105715Medicaid
AL051110663OtherBCBS
AL009943009Medicaid
AL000038318Medicaid