Provider Demographics
NPI:1225219264
Name:REED, MATTHEW W (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:W
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:975 9TH AVE SW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7837
Mailing Address - Country:US
Mailing Address - Phone:205-481-7485
Mailing Address - Fax:205-481-7494
Practice Address - Street 1:975 9TH AVE SW
Practice Address - Street 2:SUITE 200
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-7837
Practice Address - Country:US
Practice Address - Phone:205-481-7485
Practice Address - Fax:205-481-7494
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL30085208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL139254Medicaid
AL511-25857OtherBLUE CROSS BLUE SHIELD OF AL
AL102I026689Medicare Oscar/Certification