Provider Demographics
NPI:1225126154
Name:SUMRALL, BRIAN HINSON (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:HINSON
Last Name:SUMRALL
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 1:1851 N MCKENZIE ST STE 206
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-4702
Mailing Address - Country:US
Mailing Address - Phone:250-677-6812
Mailing Address - Fax:251-677-6811
Practice Address - Street 1:1851 N MCKENZIE ST STE 206
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-4702
Practice Address - Country:US
Practice Address - Phone:251-677-6812
Practice Address - Fax:251-677-6811
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29562207RC0200X, 207RP1001X
MS19069207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL213198Medicaid
AL510-49655OtherBCBS
AL512-07155OtherBCBS
AL102I818464OtherMEDICARE
AL3067814OtherUHC
MS00287022OtherMS MEDICAID
AL213248Medicaid
AL220937Medicaid
AL3588081OtherCIGNA HC
AL111128Medicaid
AL207933Medicaid
AL511-95743OtherBCBS
AL9145349OtherAETNA
ALZ10194OtherVIVA HEALTH
AL220450Medicaid
AL512-07152OtherBCBS
ALP00749112OtherRR MEDICARE