Provider Demographics
NPI:1225056815
Name:BURCHFIELD, ASHLEY KEIR (MD)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KEIR
Last Name:BURCHFIELD
Suffix:
Gender:F
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 2705
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2705
Mailing Address - Country:US
Mailing Address - Phone:256-265-7791
Mailing Address - Fax:256-265-7767
Practice Address - Street 1:8371 HIGHWAY 72 W
Practice Address - Street 2:SUITE 100
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9505
Practice Address - Country:US
Practice Address - Phone:256-726-6970
Practice Address - Fax:256-726-6971
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00022770207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630103043Medicaid
51523520OtherBLUE CROSS BLUE SHIELD
H12514Medicare UPIN
51523520OtherBLUE CROSS BLUE SHIELD